CA2733200A1 - Conjugated proteins with prolonged in vivo efficacy - Google Patents

Abstract

The invention relates to conjugated proteins, in particular but not exclusively, blood coagulation factors, to processes for preparing said conjugates, to pharmaceutical compositions comprising said conjugates and to the use of the conjugates in therapy, in particular but not exclusively, for the treatment of diseases alleviated by blood coagulation factors such as the prophylactic treatment of hemophilia.

Description

CONJUGATED PROTEINS WITH PROLONGED IN VIVO EFFICACY
FIELD OF THE INVENTION
The invention relates to conjugated proteins, in particular but not exclusively, blood coagulation factors, to processes for preparing said conjugates, to pharmaceutical compositions comprising said conjugates and to the use of the conjugates in therapy, in particular but not exclusively, for the treatment of diseases alleviated by blood coagulation factors such as the prophylactic treatment of hemophilia.
BACKGROUND OF THE INVENTION
Blood coagulation is a process consisting of a complex interaction of various blood components (or factors) that eventually gives rise to a fibrin clot.
Generally, the blood components, which participate in what has been referred to as the coagulation "cascade", are enzymatically inactive proteins (proenzymes or zymogens) that are converted to proteolytic enzymes by the action of an activator (which itself is an activated clotting factor). Coagulation factors that have undergone such a conversion are generally referred to as "active factors", and are designated by the addition of the letter "a" to the name of the coagulation factor (e. g. Factor VII(a)).

For patients with severe hemophilia, there is a trend away from on-demand treatment towards prophylactic regimens to prevent bleeding and subsequent joint damage. However, with their short circulating half-life, coagulation factors such as FVIII, FIX and FVIIa in particular, are not ideal for long term prophylactic treatment, as both high doses and frequent injections are required for maintaining pharmacological relevant plasma levels. Current focus is therefore directed towards development of long acting analogues that are better suited for prophylactic use.
Pegylation is an established method for prolonging the circulating half-life of proteins. However, due to the large interaction interface of coagulation factors within the cell membrane, other coagulation factors and co factors there are limited possibilities for chemical modification without a detrimental loss of activity.

There is thus a great need for providing blood coagulation factors with increased plasma half-lives for the prophylactic treatment of hemophilia.

WO 2005/027978 (Novo Nordisk A/S) describes derivatives of glucagon-like-peptide-1 (GLP-1) which have a protracted profile of action wherein said polypeptides are linked to an albumin binding residue via a hydrophilic spacer.
The invention therefore provides novel protein conjugates with improved pharmacological properties as well as methods for their production.
SUMMARY OF THE INVENTION
According to a first aspect of the invention, there is provided a process for preparing a conjugated protein or glycoprotein which comprises the steps of reacting a protein or glycoprotein with a water insoluble albumin binder in the presence of an optionally substituted cyclodextrin molecule.

According to a second aspect of the invention there is provided a protein conjugate which comprises a protein or glycoprotein linked to an albumin binding residue via a hydrophilic spacer, or a pharmaceutically acceptable salt, solvate or prodrug thereof.

According to a further aspect of the invention there is provided a protein conjugate of the formula (I):

(A-W-B)y-P (I) wherein P represents a protein or glycoprotein;
B represents a hydrophilic spacer;
W is a chemical group linking A and B;
A represents an albumin binding residue; and y represents an integer selected from 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10;
or a pharmaceutically acceptable salt, solvate or prodrug thereof.
According to a third aspect of the invention there is provided a process for preparing a conjugated blood coagulation factor which comprises the steps of reacting a blood coagulation factor as defined herein with a modifier group as defined herein.

According to a further aspect of the invention there is provided a conjugated blood coagulation factor comprising a blood coagulation factor as defined herein conjugated to a modifier group as defined herein.

According to a further aspect of the invention there is provided a method of treating hemophilia which comprises administering to a patient a therapeutically effective amount of a conjugated blood coagulation factor as defined herein.
DEFINITIONS
The term "protein", "polypeptide" and "peptide" as used herein means a compound composed of at least five constituent amino acids connected by peptide bonds. The constituent amino acids may be from the group of the amino acids encoded by the genetic code and they may be natural amino acids which are not encoded by the genetic code, as well as synthetic amino acids. Natural amino acids which are not encoded by the genetic code are e.g. hydroxyproline, y-carboxyglutamate, ornithine, phosphoserine, D-alanine and D-glutamine.
Synthetic amino acids comprise amino acids manufactured by chemical synthesis, i.e. D-isomers of the amino acids encoded by the genetic code such as D-alanine and D-leucine, Aib (a-aminoisobutyric acid), Abu (a-aminobutyric acid), Tle (tert-butylglycine), R-alanine, 3-aminomethyl benzoic acid and anthranilic acid. It will be appreciated that the term "conjugated" used herein with respect to a protein or glycoprotein refers to the specific conjugation with an albumin binding residue in accordance with the invention. It will also be appreciated that the protein or glycoprotein used in the conjugation process of the invention may already be conjugated with other moieties such as a sugar moiety.

The term "glycoprotein" as used herein refers to proteins that contain oligosaccharide chains (glycans) covalently attached to their polypeptide side-chains. It will be appreciated that when a glycoprotein is used in the conjugation process of the invention, the albumin binding residue may be linked to said glycoprotein via a glycan residue.

In the present context, the term "growth hormone compound" as used herein means growth hormone of mammalian origin, such as human, bovine, or porcine growth hormone, and recombinant growth hormone, such as recombinant human, bovine, or porcine growth hormone, and variants of such growth hormones. As used herein "GH" and "growth hormone compound" are interchangeable. When GH is a variant of growth hormone of mammalian origin, such as hGH and recombinant hGH, said variant is understood to be the compound obtained by substituting one or more amino acid residues in the growth hormone, e.g. hGH, sequence with another natural or unnatural amino acid; and/or by adding one or more natural or unnatural amino acids to the growth hormone, e.g. hGH, sequence; and/or by deleting one or more amino acid residue from the growth hormone, e.g. hGH, sequence, wherein any of these steps may optionally be followed by further derivatization of one or more amino acid residues. In particular, such substitutions are conservative in the sense that one amino acid residue is substituted by another amino acid residue from the same group, i.e. by another amino acid residue with similar properties.
Amino acids may conveniently be divided in the following groups based on their properties: Basic amino acids (such as arginine, lysine, histidine), acidic amino acids (such as glutamic acid and aspartic acid), polar amino acids (such as glutamine, cysteine and asparagine), hydrophobic amino acids (such as leucine, isoleucine, proline, methionine and valine), aromatic amino acids (such as phenylalanine, tryptophan, tyrosine) and small amino acids (such as glycine, alanine, serine and threonine). Typically, the GH has at least 80% identity with hGH, and typically, has at least 20% of the growth hormone activity of hGH as determined in assay I herein.

In the present context, the term "albumin binding residue" as used herein means a residue which binds noncovalently to human serum albumin. The albumin binding residue attached to the protein or glycoprotein typically has a binding affinity towards human serum albumin that is below about 10 pM or even 5 below about 1 pM. A range of albumin binding residues are known among linear and branched lipophillic moieties containing 12-40 carbon atoms, compounds with a cyclopentanophenanthrene skeleton, and/or peptides having 10-45 amino acid residues etc. Albumin binding properties can be measured by surface plasmon resonance as described in J. Biol. Chem. 277(38), 35035-35042, (2002).

The term "hydrophilic spacer" as used herein means a spacer that separates a protein or glycoprotein and an albumin binding residue with a chemical moiety which comprises at least 5 nonhydrogen atoms where 30-50% of these are either N or 0.

The term "water insoluble" refers to a moiety having a cLogP > 0.
The term "water soluble" refers to a moiety having a cLogP < 0.
In the present context, the term "transamination" and related terms are intended to indicate a reaction wherein the amide nitrogen in the side chain of glutamine is exchanged with nitrogen from another compound, in particular nitrogen from another nitrogen containing nucleophile.
In the present context, the term "not accessible" is intended to indicate that something is absent or de facto absent in the sense that it cannot be reached.
When it is stated that functional groups are not accessible in a protein to be conjugated it is intended to indicate that said functional group is absent from the protein or, if present, in some way prevented from taking part in reactions.
By way of example, said functional group could be buried deep in the structure of the protein so that it is shielded from participating in the reaction. It is recognised that whether or not a functional group is accessible depends on the reaction conditions. It may be envisaged that, e.g. in the presence of denaturing agents or at elevated temperatures the protein may unfold to expose otherwise not accessible functional groups. It is to be understood that "not accessible"
means "not accessible at the reaction condition chosen for the particular reaction of interest".
The term "alkane" or "alkyl" is intended to indicate a saturated, linear, branched and/or cyclic hydrocarbon. Unless specified with another number of carbon atoms, the term is intended to indicate hydrocarbons with from 1 to 30 (both included) carbon atoms, such as 1 to 20 (both included), such as from 1 to 10 (both included), e.g. from 1 to 5 (both included). The terms alkyl and alkylene refer to the corresponding radical and bi-radical, respectively.

The term "C1.6 alkyl" refers to a straight chained or branched saturated hydrocarbon having from one to six carbon atoms inclusive. Examples of such groups include, but are not limited to, methyl, 2-propyl, 1-butyl, 2-butyl, 2-methyl-2-propyl, 2-methyl-l-butyl and n-hexyl.

The term "C3-10 cycloalkyl" typically refers to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, cyclononyl, and cyclodecanyl.
The term "alkene" is intended to indicate linear, branched and/or cyclic hydrocarbons comprising at least one carbon-carbon double bond. Unless specified with another number of carbon atoms, the term is intended to indicate hydrocarbons with from 2 to 30 (both included) carbon atoms, such as 2 to 20 (both included), such as from 2 to 10 (both included), e.g. from 2 to 5 (both included). The terms alkenyl and alkenylene refer to the corresponding radical and bi-radical, respectively.

The term "alkyne" is intended to indicate linear, branched and/or cyclic hydrocarbons comprising at least one carbon-carbon triple bond, and it may optionally comprise one or more carbon-carbon double bonds. Unless specified with another number of carbon atoms, the term is intended to indicate hydrocarbons with from 2 to 30 (both included) carbon atoms, such as from 2 to 20 (both included), such as from 2 to 10 (both included), e.g. from 2 to 5 (both included). The terms alkynyl and alkynylene refer to the corresponding radical and bi-radical, respectively.

The term "homocyclic aromatic compound" is intended to indicate aromatic hydrocarbons, such as benzene and naphthalene.

The term "heterocyclic compound" is intended to indicate a cyclic compound comprising 5, 6 or 7 ring atoms from which 1, 2, 3 or 4 are hetero atoms selected from N, 0 and/or S. Examples include heterocyclic aromatic compounds, such as thiophene, furan, pyran, pyrrole, imidazole, pyrazole, isothiazole, isooxazole, pyridine, pyrazine, pyrimidine, pyridazine, as well as their partly or fully hydrogenated equivalents, such as piperidine, pirazolidine, pyrrolidine, pyroline, imidazolidine, imidazoline, piperazine and morpholine.

The terms "hetero alkane", "hetero alkene" and "hetero alkyne" are intended to indicate alkanes, alkenes and alkynes as defined above, in which one or more hetero atom or group have been inserted into the structure of said moieties.
Examples of hetero groups and atoms include -0-, -S-, -S(O)-, -S(0)2-, -C(O)-, -C(S)- and -N(R*)-, wherein R* represents hydrogen or C1-C6-alkyl. Examples of heteroalkanes include. H2 H2 ~O. C. CH3 CH3 H2 0 H3C C "C H3C C N H C'Cl~ C'J~ CH

C
.N Y C
IS", .1"C", ICNI .O C~ ,N,, H3C~CH3 and The term "radical" or "biradical" is intended to indicate a compound from which one or two, respectively, hydrogen atoms have been removed. When specifically stated, a radical may also indicate the moiety formed by the formal removal of a larger group of atoms, e.g. hydroxyl, from a compound.

The term "halogen" is intended to indicate members of the seventh main group of the periodic table, e.g. F, Cl, Br and I.

In the present context, the term "aryl" is intended to indicate a carbocyclic aromatic ring radical or a fused aromatic ring system radical wherein at least one of the rings are aromatic. Typical aryl groups include phenyl, biphenylyl, naphthyl, and the like.

The term "heteroaryl" or "hetaryl", as used herein, alone or in combination, refers to an aromatic ring radical with for instance 5 to 7 member atoms, or to a fused aromatic ring system radical with for instance from 7 to 18 member atoms, wherein at least one ring is aromatic, containing one or more heteroatoms as ring atoms selected from nitrogen, oxygen, or sulfur heteroatoms, wherein N-oxides and sulfur monoxides and sulfur dioxides are permissible heteroaromatic substitutions. Examples include furanyl, thienyl, thiophenyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, tetrazolyl, thiazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiadiazolyl, isothiazolyl, pyridinyl, pyridazinyl, pyrazinyl, pyrimidinyl, quinolinyl, isoquinolinyl, benzofuranyl, benzothiophenyl, indolyl, and indazolyl, and the like.
The asterisk marking as used in the chemical structures herein indicates the presence of an open bond suitable for attachment.

The term "conjugate" as a noun is intended to indicate a modified protein, i.e. a protein with a moiety bonded to it in order to modify the properties of said protein. As a verb, the term is intended to indicate the process of bonding a moiety to a protein to modify the properties of said protein.

As used herein, the term "prod rug" indicates biohydrolyzable amides and biohydrolyzable esters and also encompasses a) compounds in which the biohydrolyzable functionality in such a prodrug is encompassed in the compound according to the present invention, and b) compounds which may be oxidized or reduced biologically at a given functional group to yield drug substances according to the present invention. Examples of these functional groups include 1,4-dihydropyridine, N-alkylcarbonyl-1,4-dihydropyridine, 1,4-cyclohexadiene, tert-butyl, and the like.

As used herein, the term "biohydrolyzable ester" is an ester of a drug substance (in casu, a compound according to the invention) which either a) does not interfere with the biological activity of the parent substance but confers on that substance advantageous properties in vivo such as duration of action, onset of action, and the like, or b) is biologically inactive but is readily converted in vivo by the subject to the biologically active principle. The advantage is, for example increased solubility or that the biohydrolyzable ester is orally absorbed from the gut and is transformed to a compound according to the present invention in plasma. Many examples of such are known in the art and include by way of example lower alkyl esters (e.g., C1-C4), lower acyloxyalkyl esters, lower alkoxyacyloxyalkyl esters, alkoxyacyloxy esters, alkyl acylamino alkyl esters, and choline esters.

As used herein, the term "biohydrolyzable amide" is an amide of a drug substance (in casu, a compound according to the present invention) which either a) does not interfere with the biological activity of the parent substance but confers on that substance advantageous properties in vivo such as duration of action, onset of action, and the like, or b) is biologically inactive but is readily converted in vivo by the subject to the biologically active principle. The advantage is, for example increased solubility or that the biohydrolyzable amide is orally absorbed from the gut and is transformed to a compound according to the present invention in plasma. Many examples of such are known in the art and include by way of example lower alkyl amides, a-amino acid amides, alkoxyacyl amides, and alkylaminoalkylcarbonyl amides.

In the present context, the term "pharmaceutically acceptable salt" is intended to indicate salts which are not harmful to the patient. Such salts include pharmaceutically acceptable acid addition salts, pharmaceutically acceptable metal salts, ammonium and alkylated ammonium salts. Acid addition salts include salts of inorganic acids as well as organic acids. Representative examples of suitable inorganic acids include hydrochloric, hydrobromic, hydroiodic, phosphoric, sulfuric, nitric acids and the like. Representative examples of suitable organic acids include formic, acetic, trichloroacetic, trifluoroacetic, propionic, benzoic, cinnamic, citric, fumaric, glycolic, lactic, maleic, malic, malonic, mandelic, oxalic, picric, pyruvic, salicylic, succinic, methanesulfonic, 5 ethanesulfonic, tartaric, ascorbic, pamoic, bismethylene salicylic, ethanedisulfonic, gluconic, citraconic, aspartic, stearic, palmitic, EDTA, glycolic, p-aminobenzoic, glutamic, benzenesulfonic, p-toluenesulfonic acids and the like.
Further examples of pharmaceutically acceptable inorganic or organic acid addition salts include the pharmaceutically acceptable salts listed in J.
Pharm.

10 Sci. 66, 2, (1977) which is incorporated herein by reference. Examples of metal salts include lithium, sodium, potassium, magnesium salts and the like.
Examples of ammonium and alkylated ammonium salts include ammonium, methylammonium, dimethylammonium, trimethylammonium, ethylammonium, hydroxyethylammonium, diethylammonium, butylammonium, tetramethylammonium salts and the like.

A "therapeutically effective amount" of a compound as used herein means an amount sufficient to cure, alleviate or partially arrest the clinical manifestations of a given disease and its complications. An amount adequate to accomplish this is defined as "therapeutically effective amount". Effective amounts for each purpose will depend on the severity of the disease or injury as well as the weight and general state of the subject. It will be understood that determining an appropriate dosage may be achieved using routine experimentation, by constructing a matrix of values and testing different points in the matrix, which is all within the ordinary skills of a trained physician or veterinary.

The term "treatment" and "treating" as used herein means the management and care of a patient for the purpose of combating a condition, such as a disease or a disorder. The term is intended to include the full spectrum of treatments for a given condition from which the patient is suffering, such as administration of the active compound to alleviate the symptoms or complications, to delay the progression of the disease, disorder or condition, to alleviate or relieve the symptoms and complications, and/or to cure or eliminate the disease, disorder or condition as well as to prevent the condition, wherein prevention is to be understood as the management and care of a patient for the purpose of combating the disease, condition, or disorder and includes the administration of the active compounds to prevent the onset of the symptoms or complications.
The patient to be treated is preferably a mammal; in particular a human being, but it may also include animals, such as dogs, cats, cows, sheep and pigs.

The term "analogue" as used herein referring to a polypeptide means a modified peptide wherein one or more amino acid residues of the peptide have been substituted by other amino acid residues and/or wherein one or more amino acid residues have been deleted from the peptide and or wherein one or more amino acid residues have been added to the peptide. Such addition or deletion of amino acid residues can take place at the N-terminal of the peptide and/or at the C-terminal of the peptide. All amino acids for which the optical isomer is not stated are to be understood to mean the L-isomer.
The term "functional in vivo half-life" is used in its normal meaning, i.e., the time at which 50% of the biological activity of the modified protein or a reference molecule is still present in the body/target organ, or the time it takes for the activity of the modified protein or reference molecule to drop to 50%
of its peak value. As an alternative to determining functional in vivo half-life, "in vivo plasma half-life" may be determined, i.e., the time at which 50% of the modified proteins or reference molecules circulate in the plasma or bloodstream prior to being cleared. Determination of plasma half-life is often more simple than determining functional half-life and the magnitude of plasma half-life is usually a good indication of the magnitude of functional in vivo half-life.
Alternative terms to plasma half-life include serum half-life, circulating half-life, circulatory half-life, serum clearance, plasma clearance, and clearance half-life.
The functionality to be retained is normally selected from procoagulant, proteolytic, co-factor binding, receptor binding activity, or other type of biological activity associated with the particular protein.

Measurement of in vivo biological half-life can be carried out in a number of ways as described in the literature. An example using modified FVIIa (coagulation factor VIIa) of an assay for the measurement of in vivo half-life of rFVIIa and variants thereof is described in FDA reference number 96-0597.
Briefly, FVIIa clotting activity is measured in plasma drawn prior to and during a 24-hour period after administration of the modified protein. The median apparent volume of distribution at steady state is measured and the median clearance determined.

The term "increased" as used about the functional in vivo half-life or plasma half-life indicates that the relevant half-life of the modified protein is statistically significantly increased relative to that of a reference molecule, such as an otherwise identical protein which has, however, not been subjected to the method of the invention. Thus, the half-life is determined under comparable conditions. For instance the relevant half-life may be increased by at least about 25%, such as by at least about 50%, e.g., by at least about 100%, 150%, 200%, 250%, or 500%. In some embodiments, the modified proteins of the present invention exhibit an increase in half-life of at least about 0.25 h, preferably at least about 0.5 h, more preferably at least about 1 h, and most preferably at least about 2 h, relative to the half-life of of the un-modified protein.

The term "bioavailability" refers to the proportion of an administered dose of a conjugate that can be detected in plasma at predetermined times after administration. Typically, bioavailability is measured in test animals by administering a dose of between about 25-250 g/kg of the preparation;
obtaining plasma samples at predetermined times after administration; and determining the content of protein in the samples using a suitable bioassay, or immunoassay, or an equivalent assay. The data are typically displayed graphically as [protein] v. time and the bioavailability is expressed as the area under the curve (AUC). Relative bioavailability of a test preparation refers to the ratio between the AUC of the test preparation and that of the un-modified protein.

The term "immunogenicity" of a preparation refers to the ability of the preparation, when administered to a human, to elicit a deleterious immune response, whether humoral, cellular, or both. In any human sub-population, there may exist individuals who exhibit sensitivity to particular administered proteins. Immunogenicity may be measured by quantifying the presence of anti-protein antibodies and/or protein responsive T-cells in a sensitive individual, using conventional methods known in the art. In some embodiments, the modified proteins of the present invention exhibit a decrease in immunogenicity in a sensitive individual of at least about 10%, preferably at least about 25%, more preferably at least about 40% and most preferably at least about 50%, relative to the immunogenicity for that individual of the un-modified protein.

Immunogenicity of a drug also relates to the fact that proteinaceous drugs may be immunogenic in non-sensitive subjects, meaning that repeated administrations of the drug leads to continuous boosting of an immune response against the drug. This is in most cases undesirable because the immune response will interfere with the activity of the drug, whereby it becomes necessary to administer increasing dosages of the drug over time in order to provide a therapeutic effect. In some embodiments, the modified proteins of the present invention exhibit a decrease in immunogenicity in non-sensitive subjects of at least about 10%, preferably at least about 25%, more preferably at least about 40% and most preferably at least about 50%, relative to the immunogenicity for that individual of the un-modified protein.

The term "protease protected" as used herein referring to a protein means a protein which has been chemically modified in order to render said compound resistant to the plasma peptidases or proteases. Proteases in plasma are known to be involved in the degradation of several peptide hormones and also play a role in degradation of larger proteins.

Resistance of a protein to degradation by for instance dipeptidyl aminopeptidase IV (DPPIV) is determined by the following degradation assay: Aliquots of the protein (5 nmol) are incubated at 37 C with 1 pL of purified dipeptidyl aminopeptidase IV corresponding to an enzymatic activity of 5 mU for 10-180 minutes in 100 pL of 0.1 M triethylamine-HCI buffer, pH 7.4. Enzymatic reactions are terminated by the addition of 5 pL of 10% trifluoroacetic acid, and the peptide degradation products are separated and quantified using HPLC analysis.

One method for performing this analysis is : The mixtures are applied onto a Vydac C18 widepore (30 nm pores, 5 pm particles) 250 x 4.6 mm column and eluted at a flow rate of 1 ml/min with linear stepwise gradients of acetonitrile in 0.1% trifluoroacetic acid (0% acetonitrile for 3 min, 0-24% acetonitrile for min, 24-48% acetonitrile for 1 min) according to Siegel et al., Regul. Pept.
1999;79:93-102 and Mentlein et al. Eur. J. Biochem. 1993;214:829-35. Peptides and their degradation products may be monitored by their absorbance at 220 nm (peptide bonds) or 280 nm (aromatic amino acids), and are quantified by integration of their peak areas related to those of standards. The rate of hydrolysis of a peptide by dipeptidyl aminopeptidase IV is estimated at incubation times which result in less than 10% of the peptide being hydrolysed.
The experiment can optionally be run in the presence of albumin, in order to study shielding properties exerted by albumin complexation.

The term "aqueous formulation" is defined as a formulation comprising at least 50 %w/w water. Likewise, the term "aqueous solution" is defined as a solution comprising at least 50 %w/w water, and the term "aqueous suspension" is defined as a suspension comprising at least 50 %w/w water.

The term "identity" as known in the art, refers to a relationship between the sequences of two or more proteins, as determined by comparing the sequences.
In the art, "identity" also means the degree of sequence relatedness between proteins, as determined by the number of matches between strings of two or more amino acid residues. "Identity" measures the percent of identical matches between the smaller of two or more sequences with gap alignments (if any) addressed by a particular mathematical model or computer program (i.e., "algorithms"). Identity of related proteins can be readily calculated by known methods. Such methods include, but are not limited to, those described in Computational Molecular Biology, Lesk, A. M., ed., Oxford University Press, New York, 1988; Biocomputing: Informatics and Genome Projects, Smith, D. W., ed., Academic Press, New York, 1993; Computer Analysis of Sequence Data, Part 1, Griffin, A. M., and Griffin, H. G., eds., Humana Press, New Jersey, 1994;
Sequence Analysis in Molecular Biology, von Heinje, G., Academic Press, 1987;
Sequence Analysis Primer, Gribskov, M. and Devereux, J., eds., M. Stockton Press, New York, 1991; and Carillo et al., SIAM J. Applied Math., 48, 1073, (1988).

Preferred methods to determine identity are designed to give the largest match 5 between the sequences tested. Methods to determine identity are described in publicly available computer programs. Preferred computer program methods to determine identity between two sequences include the GCG program package, including GAP (Devereux et al., Nucl. Acid. Res., 12, 387, (1984); Genetics Computer Group, University of Wisconsin, Madison, Wis.), BLASTP, BLASTN, and 10 FASTA (Altschul et al., J. Mol. Biol., 215, 403-410, (1990)). The BLASTX
program is publicly available from the National Center for Biotechnology Information (NCBI) and other sources (BLAST Manual, Altschul et al.
NCB/NLM/NIH Bethesda, Md. 20894; Altschul et al., supra). The well known Smith Waterman algorithm may also be used to determine identity.
For example, using the computer algorithm GAP (Genetics Computer Group, University of Wisconsin, Madison, Wis.), two proteins for which the percent sequence identity is to be determined are aligned for optimal matching of their respective amino acids (the "matched span", as determined by the algorithm). A
gap opening penalty (which is calculated as 3× the average diagonal; the "average diagonal" is the average of the diagonal of the comparison matrix being used; the "diagonal" is the score or number assigned to each perfect amino acid match by the particular comparison matrix) and a gap extension penalty (which is usually {fraction (1/10)} times the gap opening penalty), as well as a comparison matrix such as PAM 250 or BLOSUM 62 are used in conjunction with the algorithm. A standard comparison matrix (see Dayhoff et al., Atlas of Protein Sequence and Structure, vol. 5, supp.3 (1978) for the PAM
250 comparison matrix; Henikoff et al., Proc. Natl. Acad. Sci USA, 89, 10915-10919, (1992) for the BLOSUM 62 comparison matrix) is also used by the algorithm.

Preferred parameters for a protein sequence comparison include the following:
Algorithm: Needleman et al., J. Mol. Biol, 48, 443-453, (1970); Comparison matrix: BLOSUM 62 from Henikoff et al., Proc. Natl. Acad. Sci. USA, 89, 10915-10919, (1992); Gap Penalty: 12, Gap Length Penalty: 4, Threshold of Similarity:
0.

The GAP program is useful with the above parameters. The aforementioned parameters are the default parameters for protein comparisons (along with no penalty for end gaps) using the GAP algorithm.

DETAILED DESCRIPTION OF THE INVENTION
According to a first aspect of the invention, there is provided a process for preparing a conjugated protein or glycoprotein which comprises the steps of reacting a protein or glycoprotein with a water insoluble albumin binder in the presence of an optionally substituted cyclodextrin molecule.

In one embodiment, the protein conjugate is a protein conjugate of the formula (I):

(A-W-B)y-P (I) wherein P represents a protein or glycoprotein;
B represents a hydrophilic spacer;
W is a chemical group linking A and B;
A represents an albumin binding residue; and y represents an integer selected from 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10;
or a pharmaceutically acceptable salt, solvate or prodrug thereof, such that said A-W-B- moiety comprises a water insoluble moiety.

The invention results in modified proteins or glycoproteins having improved pharmacologic properties compared to the un-modified protein or glycoprotein.
For example, the improved pharmacologic property is selected from the group consisting of increased bioavailability, increased functional in vivo half-life, increased in vivo plasma half-life, reduced immunogenicity, increased protease resistance, increased affinity for albumin, improved affinity for a receptor, increased storage stability, decreased functional in vivo half-life and decreased in vivo plasma half-life.

Cyclodextrins (also known as cycloamyloses) make up a family of cyclic oligosaccharides, composed of 5 or more a-D-glucopyranoside units linked 1->4, as in amylose (a fragment of starch). Typical cyclodextrins contain a number of glucose monomers ranging from six to eight units in a ring, creating a cone shape. Examples of such cyclodextrins include a-cyclodextrin (a-CD; six membered sugar ring molecule), 13-cyclodextrin ((3-CD; seven sugar ring molecule) and y-cyclodextrin (y-CD; eight sugar ring molecule) as shown below:

Q'B] Ã a r:g In one embodiment, the cyclodextrin molecule comprises optionally substituted (3-cyclodextrin.
Optional substituents for cyclodextrin include one or more C1_6 alkyl groups (e.g.
methyl, ethyl or propyl) each of which may be optionally substituted by one or more hydroxyl groups (e.g. hydroxyethyl-cyclodextrin or hydroxypropyl-cyclodextrin). In one embodiment, the optionally substituted cyclodextrin comprises 2-hydroxyethyl-(3-cyclodextrin.

The optionally substituted cyclodextrin molecule may be added at a concentration of between 1% and 10% (e.g. 5%).

In one embodiment, the conjugation reaction comprises reaction in an aqueous buffered solution, such as a Hepes buffer (e.g. 50mM Hepes, 100mM NaCl and 10mM CaCI2). In one embodiment, the conjugation reaction comprises reaction at a constant pH (e.g. pH 7.0) and a constant temperature (e.g. 25 C). The advantage of conducting the conjugation reaction at a constant pH and temperature is to reduce the likelihood of denaturing the blood coagulation factor.
Besides clot factors the invention also applies to large proteins that are not related to, or are only remotely related to clot factors. Large proteins are in this context proteins with molecular masses above 10.000 Da.

Thus in one embodiment, P represents a protein with a molecular mass above 10,000 Da.

In another embodiment, P represents a protein with a molecular mass above 20,000 Da.
In another embodiment, P represents a protein with a molecular mass above 30,000 Da.

In another embodiment, P represents a protein with a molecular mass above 40,000 Da.

Proteins and peptides within the scope of P include, but are not limited to, hemoglobin, serum proteins such as blood factors including Factors VII, FX, FII, FV, protein C, protein S, tPA, PAI-1, tissue factor, FXI, FXII, and FXIII, as well as sequence FVIII and FIX variants thereof; immunoglobulins, cytokines such as interleukins, alpha-, beta-, and gamma-interferons, colony stimulating factors including granulocyte colony stimulating factors, platelet derived growth factors and phospholipase-activating protein (PUP).

Other proteins and peptides of general biological and therapeutic interest include insulin, plant proteins such as lectins and ricins, tumor necrosis factors and related alleles, soluble forms of tumor necrosis factor receptors, interleukin receptors and soluble forms of interleukin receptors, growth factors such as tissue growth factors, such as TGFa's or TGFps and epidermal growth factors, hormones, somatomedins, erythropoietin, pigmentary hormones, hypothalamic releasing factors, antidiuretic hormones, prolactin, chorionic gonadotropin, follicle-stimulating hormone, thyroid-stimulating hormone, tissue plasminogen activator, and the like. Immunoglobulins of interest include IgG, IgE, IgM, IgA, IgD and fragments thereof.

In an embodiment of the invention the peptide is aprotinin, tissue factor pathway inhibitor or other protease inhibitors, insulin or insulin precursors, human or bovine growth hormone, interleukin, glucagon, oxyntomodulin, GLP-1, GLP-2, IGF-I, IGF-II, tissue plasminogen activator, transforming growth factor y or p, platelet-derived growth factor, GRF (growth hormone releasing factor), human growth factor, immunoglobulins, EPO, TPA, protein C, blood coagulation factors such as FVII, FVIII, FIX, FX, FII, FV, protein C, protein S, PAI-1, tissue factor, FXI, FXII, and FXIII, exendin-3, exentidin-4, and enzymes or functional analogues thereof. In the present context, the term "functional analogue" is meant to indicate a protein with a similar function as the native protein. The protein may be structurally similar to the native protein and may be derived from the native protein by addition of one or more amino acids to either or both the C and N-terminal end of the native protein, substitution of one or more amino acids at one or a number of different sites in the native amino acid sequence, deletion of one or more amino acids at either or both ends of the native protein or at one or several sites in the amino acid sequence, or insertion of one or more amino acids at one or more sites in the native amino acid sequence. Furthermore the protein may be acylated in one or more positions, see, e.g., WO 98/08871, which discloses acylation of GLP-1 and analogues thereof, and WO 98/08872, which discloses acylation of GLP-2 and analogues thereof. An example of an acylated GLP-1 derivative is Lys26(Nepsilon-tetradecanoyl)-GLP-1 (7-37) which is GLP-1 (7-37) wherein the epsilon-amino group of the Lys residue in position 26 has been tetradecanoylated.
The proteins or portions thereof can be prepared or isolated by using techniques known to those of ordinary skill in the art such as tissue culture, extraction from animal sources, or by recombinant DNA methodologies. Transgenic sources of the proteins, peptides, amino acid sequences and the like are also contemplated.

Such materials are obtained from transgenic animals, i.e., mice, pigs, cows, etc., wherein the protein is expressed in milk, blood or tissues. Transgenic insects and baculovirus expression systems are also contemplated as sources.
Moreover, mutant versions, of proteins, such as mutant TNF's and/or mutant 5 interferons are also within the scope of the invention. Other proteins of interest are allergen proteins such as ragweed, Antigen E, honeybee venom, mite allergen, and the like.

In one embodiment, P represents a blood coagulation factor. Examples of 10 suitable blood coagulation factors include: I (fibrinogen), II
(prothrombin), tissue factor, V (proaccelerin), VI, VII, VIII, IX (Christmas factor), X
(Stuart-Prower factor), XI (plasma thromboplastin antecedent), XII (Hageman factor), XIII (fibrin-stabilizing factor), von Willebrand factor, prekallikrein, high molecular weight kininogen (HMWK), fibronectin, antithrombin III, heparin 15 cofactor II, protein C, protein S, protein Z, protein Z-related protease inhibitor (ZPI), plasminogen, alpha 2-antiplasmin, tissue plasminogen activator (tPA), urokinase, plasminogen activator inhibitor-1 (PAI1), plasminogen activator inhibitor-2 (PAI2) and cancer procoagulant. In a further embodiment, the blood coagulation factor is selected from FVII, FX, FII, FV, protein C, protein S, tPA, 20 PAI-1, tissue factor, FXI, FXII, and FXIII, as well as sequence FVIII, FIX
variants thereof In a further embodiment, the blood coagulation factor is FVII (i.e. FVIIa).
In an alternative embodiment, P represents a growth hormone (GH).

In one embodiment, y represents an integer selected from 1, 2 or 3. This embodiment is particularly suited to embodiments wherein P represents a growth hormone because said growth hormone has 3 attachment points for such an A-W-B- moiety, namely N-term, Gln40 and GIn141.

In one embodiment, y represents an integer selected from 1, 2, 3, 4, 5 or 6.
In a further embodiment, y represents 2. In an alternative embodiment, y represents 1.

The above embodiments as well as the embodiments to be described hereunder should be seen as referring to any one of the aspects described herein as well as any one of the embodiments described herein unless it is specified that an embodiment relates to a certain aspect or aspects of the present invention.

In one embodiment of the present invention the hydrophilic spacer B has a cLogP
< 0 as defined in J. Am. Chem. Soc., 86 (1964) 5175-5180 "A New Substituent Constant, fl, Derived from Partition Coefficients", and as can be calculated using the Sybyl software package from Tripos (Tripos Associates, 1699 South Hanley Road, St. Louis, MO 63144-2319 USA).

In a further embodiment of the conjugate of formula (I), the hydrophilic spacer B has the formula wherein xi is -W1-[(CHR1)11-W2]ml-{[(CH2)n1E1]m2-[(CH R2)12-W3]m3}n2-, X2 is -[(CHR3)13-W4]m4-{[(CH2)n3E2]m5-[(CHR4)14-W5]m6}n4-, X3 is -[(CHR5) 15-W6]m7-, X4 is F-D1-(CH2)16-D2-, 11, 12, 13, 14, 15 and 16 independently are selected from 0-16, ml, m3, m4, m6 and m7 independently are selected from 0-10, m2 and m5 independently are selected from 0-25, n1, n2, n3 and n4 independently are selected from 0-16, F is aryl, heteroaryl, pyrrolidine-2,5-dione, wherein the aryl and heteroaryl groups are optionally substituted with halogen, -CN, -OH, -C(O)OH, -C(O)NH2, -S(O)20H or C1.6-alkyl, R1, R2, R3, R4 and R5 independently are selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)20H, -NH-C(=NH)-NH2, C1_6-alkyl, aryl or heteroaryl; wherein the alkyl, aryl and heteroaryl groups optionally are substituted with halogen, -C(O)OH, -C(O)NH2r -S(O)OH, -S(O)20H, -CN or -OH, D1, D2, El and E2 independently are selected from -0-, -NR6-, -N(COR7)- or a valence bond; wherein R6 and R7 independently represent hydrogen or C1_6-alkyl, W1 to W6 independently are selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s2-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s2 is 0 or 1.
In a further embodiment W1 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W1 is selected from -C(O)NH-, -NHC(O)- or -C(O)NHS(O)2-.

In a further embodiment W2 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W2 is selected from -C(O)NH-, -NHC(O)- or -C(O)NHS(O)2-.

In a further embodiment W3 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W3 is selected from -C(O)NH-, -NHC(O)- or -C(O)NHS(O)2-.

In a further embodiment W4 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W4 is selected from -C(O)NH-, -NHC(O)- or -C(O)NHS(O)2-.

In a further embodiment W5 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W5 is selected from -C(O)NH-, -NHC(O)- or -C(O)NHS(O)2-.
In a further embodiment W6 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W6 is selected from -C(O)NH-, -NHC(O)- or -C(O)NHS(O)2-.

In a further embodiment R1 selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1-6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H. Typically, R1 is selected from -C(O)OH, -C(O)NH2, or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, or -S(O)20H.

In a further embodiment R2 is selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H. Typically, R2 is selected from -C(O)OH, -C(O)NH2, or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, or -S(O)20H.

In a further embodiment R3 is selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1.6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H. Typically, R3 is selected from -C(O)OH, -C(O)NH2, or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, or -S(O)20H.

In a further embodiment R4 is selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1-6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H. Typically, R4 is selected from -C(O)OH, -C(O)NH2, or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, or -S(O)20H.

In a further embodiment R5 is selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H. Typically, R5 is selected from -C(O)OH, -C(O)NH2, or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, or -S(O)20H.
In a further embodiment El is selected from -0- or -NR6- or a valence bond.
Typically, El is selected from -0-.

In a further embodiment E2 is selected from -0- or -NR6- or a valence bond.
Typically, E2 is selected from -0-.

In a further embodiment El and E2 are both -0-.
In a further embodiment El and E2 are both -NR6-.

In a further embodiment F is phenyl, pyrrolidine-2,5-dione or a valence bond.
In a further embodiment D1 is selected from -0- or -NR6- or a valence bond.
Typically, D1 is selected from -NR6-.

In a further embodiment D2 is selected from -0- or -NR6- or a valence bond.
Typically, D1 is selected from -NR6-.

In a further embodiment I1 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.
In a further embodiment 12 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.
In a further embodiment 13 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.
In a further embodiment 14 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6. In a further embodiment 15 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.

In a further embodiment 16 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.
In a further embodiment ml is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.

In a further embodiment m2 is 0-10, such as 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10.
In a further embodiment m3 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.

In a further embodiment m4 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.

In a further embodiment m5 is 0-10, such as 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10.
In a further embodiment m6 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.
In a further embodiment m7 is 0-6, such as 0, 1, 2, 3, 4, 5 or 6.

In a further embodiment n1 is 0-10, such as 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.

In a further embodiment n2 is 0-10, such as 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.
5 In a further embodiment n3 is 0-10, such as 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.
In a further embodiment n4 is 0-10, such as 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.
In a further embodiment X1 is -W1-[(CHR1)I1-W2]m1-{[(CH2)n1O]m2-[(CHR2)12-10 W3]m3}n2- and X2 is -[(CHR3)I3-W4]m4-{[(CH2)n30]m5-[(CHR4)I4-W5]m6}n4-, wherein -{[(CH2)n1O]m2-[(CH R2)I2-W3]m3}n2- and -{[(CH2)n30]m5-[(CHR4)I4-W5]m6}n4- are selected from, O O
O~/O N ~ O---\/O N
H H

[(CH2)n101m2 W3 [(CH2)n101m2 W3 (CHR2)12 (CHR2)12 H

H

p O
H
H H
O

IO O
I N~'~p~~O"AN
-/ O 1[ N~~O
O p I ~/ H H
or H
0 -,~ 0 _--~ 0 N Y*
O

In a further embodiment the molar weight of said hydrophilic spacer is in the range from 80Daltons (D) to 1500D or in the range from 500D to 1100D.

In a still further embodiment W has the formula -W7-Y-, wherein Y is -(CH2)I7-C3_10-Cycloalkyl-W8- or a valence bond, 17 is 0-6, W7 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)53-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s3 is 0 or 1, W8 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)54-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s4 is 0 or 1.

In an embodiment of W, Y is -(CH2)I7-cyclohexyl-W8-.
In a further embodiment Y is a valence bond.

In an embodiment W7 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W7 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHS(O)2.
In a further embodiment W8 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond. Typically, W8 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHS(O)2.

In a further embodiment 17 is 0 or 1.

In a further embodiment the hydrophilic spacer B of the present invention is selected from H H H H
N N N,,-,-\0/"/ 2 N"~rN~\*
H H
0 r7 O 0 HO O

O OH
H
H II N H N\/,-p"~/ H~N N \
O O O O
HO O O NHz O O 0 O OH O 0 NHz 0 H H H H H I
O OH H

H
H II H IO H H H /
y v '` v 2 O O OH O NHz O
HO O O OH
O NH
H Z O
N~z.I Iy 0 O O O H
NH N1/ H N,/,O~iO H H
OHOO O O JLN^/*
H
HO O

H
p z p OOH^r `v}II~'I? 0 NH
O
N~~*
H

O ~O 0 p 0 OH O 0 NH, O
11 ' SH ~ H
H Nom/\O NN N~-p~/0~N""/~~~N
H II H I I H H
O O OH O N/
H
OS H y H O y O

N . N /"O,__,o 0 n~/\/~N
H H /JI`
O H II H H
O OH O
H

0_OH
S O NHz II H O C
O
N
N ~N N
0 0 OH \ N
H

%s% O NH
II O z 0 o NN
N N
H = '~ H
\ Nom/
\ I'OH

OH
O1I,0 ~S' O NHz O O
H
N

O 0 OH r -11 \ N-H

0 OH 0 NHz 0 0 0 0 0 OH 0 \
H
O HO 0 O IIH2NY1~0 0 iN N,0\ 0,yN IN /\/N\/\p/\/O\/~N~""'./U~H
H o H 0 H H
O OH O OH H
H
0 0 O ^_'rr , ^ O 0 OH O H / I
~N `S L J N N N~/gyp^/OJ~Ni~~N \
HH H O H O

H
p` O ^ IxOI H O 0 OH H IOI /
HS`v v `N^10\/IO~N N N
H H II H

0OH 0 NHz O
N N

H H H
N/ -H

0 0 NHz O
H

H
O OH
H or f~ H H 0 H
N
II II II H
H 0 H 0 0 OH H O \ N^~=
H

The albumin binding residue (substituent A in formula (I) above) attached to P
is a lipophilic residue, which binds non-covalently to albumin. Typically, the albumin binding residue is negatively charged at physiological pH, and has a binding affinity towards human serum albumin that is below about 10 pM or even below about 1 PM.
Albumin binders used in this invention are typically fatty acid derivatives with low solubility in aqueous solution. Solubility of an albumin binder can be described by its log P value. Log P, also known as the partition coefficient, is the logarithm of the ratio of concentrations of a compound in the two phases of a mixture of two immiscible solvents at equilibrium. Typically one of the solvents is water while the second is selected from octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP). Log P values measured in these different solvents show differences principally due to hydrogen bonding effects.
Octanol can donate and accept hydrogen bonds whereas cyclohexane is inert.
Chloroform can donate hydrogen bonds whereas PGDP can only accept them.

In one embodiment of the invention, the albumin binder has a Log P of > -3 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP).

5 In a further embodiment, the albumin binder has a log P above -4 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP).
In a yet further embodiment, the albumin binder has a log P above -5 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP).

10 Alternatively, or cLogP can be calculated for the albumin binder part using published algorithms (J. Am. Chem. Soc., 86 (1964) 5175-5180 "A New Substituent Constant, fl, Derived from Partition Coefficients", C. A. Lipinski et al.
Advanced Drug Delivery Reviews, 23 (1997) 3-25, "Experimental and Computational Approaches to Estimate Solubility and Permeability in Drug 15 Discovery and Development Settings" and I. Moriguchi, S. Hirono, I.
Nakagome, H. Hirano, Chem. and Pharm. Bull., 42 (1994) 976-978 "Comparison of Reliability of logP Values for Drugs Calculated by Several Methods".

In one embodiment of the invention, the albumin binder has a clog P of >1 in 20 either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP). In a further embodiment of the invention, the albumin binder has a cLog P of >2 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP). In a yet further embodiment of the invention, the albumin binder has a cLog P of >3 in either octan-1-ol, chloroform, cyclohexane and 25 propylene glycol dipelargonate (PGDP). In a yet further embodiment, the albumin binder has a clog P of > 4 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP). In a yet further embodiment, the albumin binder has a clog P of > 5 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP).
In a further embodiment the albumin binding residue is selected from a straight chain alkyl group, a branched alkyl group, a group which has a w-carboxylic acid group or a w-carboxylic acid isoster. Typically, the albumin binding residue has from 6 to 40 carbon atoms. In a further embodiment the albumin binding residue has from 8 to 26 carbon atoms. In a further embodiment the albumin binding residue has from 8 to 20 carbon atoms.

In a further embodiment A has 14 to 26 carbon atoms and comprises a w-carboxylic acid group. In a further embodiment A has 14 to 26 carbon atoms and comprises a w-carboxylic acid isoster, such as a tetrazol.

Albumin binding properties can be measured by surface plasmon resonance as described in J. Biol.Chem. 277(38), 35035-35042, 2002.
In a further embodiment A is selected from N-N N-N
N\ * N\

HO HO

, 0\\ O-N 0\\ O-N

O O O

i r r O O
HO H/~ ]~* HOLH~ L~
L J14 L'~J16 O O

F O~SO * F 0-SO
F__N 13 F__N 15 F H F H

HO I-HO

or wherein * denotes the attachment to B through W.

In one embodiment the albumin binding residue A is attached to the glutamine residue of protein P via hydrophilic spacer B.

In another embodiment the albumin binding residue A is attached to a cystein residue of protein P via hydrophilic spacer B.

In another embodiment the albumin binding residue A is attached to the N-terminal residue of protein P via hydrophilic spacer B.
In another embodiment the albumin binding residue A is attached to the C-terminal residue of protein P via hydrophilic spacer B.

In another embodiment the albumin binding residue A is attached to a lysine residue of protein P via hydrophilic spacer B.

In yet another embodiment the albumin binding residue A is attached to an oxidized glycan residue of glycoprotein P via hydrophilic spacer B.

In one embodiment, A-W-B- is HOOC n N H OII H H
HN N
n=5 0 COOH H 0 0 O
In one embodiment, P is FVIIa-C407, and A-W-B-P is COOH

HOOC N H H H H FVlla HN N N ---,-0 N
n=5 0 COOH H 0 O 0 In one embodiment, A-W-B= is O COOH
HOOC n N H O H
H rr N""`N O
n= 5 O COOH H 0 In one embodiment, P is glycooxidized FVIIa, and A-W-B=P is O COOH
HOOC n N H O H
H N N N
H ~U~O, FVIIa n=5 O COOH 0 In one embodiment, P is glycooxidized FVIIa, y = 2 and (A-W-B=)yP is O COOH
HOOC n N H O H
H
~N N N~,O,N FVlla n= 5 0 COOH H 0 2 In one embodiment, P is glycooxidized FVIIa, y = 3 and (A-W-B=)yP is [H00CH 0 H
H
N N N~~O,N FVlla n= 5 0 COOH H 0 3 In one embodiment, A-W-B- is O
N-O^iOlAN---i01-O"jr O
HO O
H

In one embodiment, P is hGH, and A-W-B-P is O
0 N~/=o~iO~N~iO~/~o~N~/~/\/ N hGH

HO N O
H OH
In one embodiment, P is hGH, y = 2 and (A-W-B)y-P is O N N hGH
H O
O
HO N O
O H OH

O O O OH

H N H Jz H~/N~~Na1 hGH
o HOr 0 0 O O O OH
H` .' HO NE"' O / I N-^~Vb141_hGH

H N _ IyI N O` Jl~ /~ ~N J7~~/~/N \
v IXI N ~~0~/ v Jp_N O
H
O O O O
HO ODNHz // -N O O "P O 0 0 OH H O 0 NHz O
\\ II
N,' 1 N ~I ^r 1^ N J II ^Y-NII- N =N
H 3 H H 9 \II/H H H /NslathGH
O O OH O H

H
/ N~p,~slar_hGH

/JIY\ v H L 23 O OH O O O NHz O

H
HO 16 H H O H H H / I N~Nb40-hGH
N N N,,O~/OJ23" 2 N~/~N
H L _ O O NHz O
O

O O HO O OH
, O
HO 16 H~..,H OII H O O H fO~~ 0 NH
N N H N'--O-\i0' TN/`l~~\~_ N
0 J2 H H / N~~6141_hGH
N H

0 NH, O O
H
HO` 12 N,, -\O^~O 2 H /\~~H / N
0 0 -,,_,,N6l4l-hGH
H
0 0 O OH 0 0 /y\ NHz 0 LH l'' HO 14 N / ~fl NOO 2 N
H H H

N ,,,/N6l41_hGH
H

O O
H
HO 14 N\/~p/\/o 2 H :r,'H /
0 0 \ ~/PJs1a1-hGH
N
H

/N-N 0 0 0 S- ^ ~Ov ` H 0 OH H O 0 NHz N,N 13 H' v H~iOO yN N /
H O OH IOI H H I N~iai_hGH
H

N S O H fIO H O O
~N 13 ry' H-'/ ~\ON N " Y___o__o IIO O OH H IIIIO H H \ N^/NsiathGH

`S,OH O NH
O O H O' z O

HO 14 N N H /~~H /
0 o OH \ /~N6l41_hGH
H
H

`_OH
S O NH
O O N O
HO 14 N = N N /
H H H -llN
O `o ^~6141-hGH
O OH H

OH
O\I,O
S

O O H Or 0 HO 14 N N H ./~~\ H N /

0 off \ ~Hs1a1_hGH
H
OH

O O H

H H H
off ,N6l41_hGH
H
H - IGI 0 OH IOI 0\J~ NH2 0 N-N 13 O O O IOI O OH H 0 H H N~NsiathGH
H
O 0 xIOIII HO O OH2N O O H HO NN I
N^/O_~O~N'wv 'NN,,~O~O v II_N N
O O O OH H O O OH H IIO H H \ N _ plsiai.hGH
0 0 0 ^ Ixp 0 OH O~ NH2 0 NHS vN //N\/~ /\iO~N ./~/\N
HO 1a H H LL JJ9 H 0 O H H \ - ,N ^'-hGH
O OH N/v s H

O rr H H
N p-\/ N N N

0 OH O / N^~si '-hGH
H

OH

H
N-N O O O p 0 OH H / I N~FVs141_hGH
_ II r 9 H H O 1 /\/ N \
NON 13 N- - / NlX N\N N_/_p~~ H

H
O O O OH ~/ I0 N\~Isiai-hGH
HO 14 H/SH/\/O~\O II NH NNN \
H

O O 0 OH^ IOxI 0 NH2 O

HO 14 N ./ v N ~~ N / N
H H H I
-,"",N6141_hGH
H

O O
H
HO 14 N N ', N
O
O OH /Ns141_hGH
H

^ JIOI~ O
HO :r'14 H ,/ V H N N
H
N ~~s141_hGH
H or HOII H H II N
N~~O__OH =.,,,, H NN
II :r H
13 H O OH H N~usa_hGH

According to a further aspect of the invention there is provided a protein conjugate as defined herein for use in therapy.

In a further aspect the invention relates to a pharmaceutical composition comprising a protein conjugate as defined herein, optionally in combination with a pharmaceutical acceptable excipient.
According to a further aspect of the invention there is provided a protein conjugate which comprises a protein or glycoprotein linked to an albumin binding residue via a hydrophilic spacer, or a pharmaceutically acceptable salt, solvate or prodrug thereof.
According to a further aspect of the invention there is provided a process for preparing a conjugated blood coagulation factor which comprises the steps of reacting a blood coagulation factor as defined herein with a modifier group as defined herein.

The process of the invention results in modified blood coagulation factors having improved pharmacologic properties compared to the un-modified blood coagulation factor. For example, the improved pharmacologic property is selected from the group consisting of increased bioavailability, increased functional in vivo half-life, increased in vivo plasma half-life, reduced immunogenicity, increased protease resistance, increased affinity for albumin, improved affinity for a receptor, increased storage stability, decreased functional in vivo half-life and decreased in vivo plasma half-life.

In one embodiment, the process additionally comprises the addition of a solubilising agent. When the modifier group comprises a fatty acid, the presence of such a solubilising agent provides the advantage of increasing the solubility of the fatty acids in aqueous solution and therefore increasing the effectiveness of the conjugation reaction.
In one embodiment the solubilising agent comprises an optionally substituted cyclodextrin molecule.

Thus, according to a further aspect of the invention, there is provided a process for preparing a conjugated protein or glycoprotein which comprises the steps of reacting a protein or glycoprotein as defined herein with an albumin binder as defined herein in the presence of an optionally substituted cyclodextrin molecule. In one embodiment, the albumin binder comprises a water-insoluble albumin binder and the protein or glycoprotein comprises a water soluble protein or glycoprotein.

Some clot factors (e.g. FVIIa, FIXa, FXa, Flia) act as proteases in the blood cascade, and it is well known that they are degraded by auto catalysis upon prolonged standing in solution.
Therefore, in addition to the use of a solubilising agent when the modifier comprises a fatty acid, the reaction mixture may additionally contain a reversible blocking agent that inhibits the active site of the protease type clot factors (e.g.
FVIIa, FIXa, FXa, FVIIa, etc.).

Therefore, in one embodiment the conjugation between the clot factor and the modifier group is conducted under conditions where the functional site of the clot factor (i.e. the protease site) is blocked by a helper molecule such as a serine protease inhibitor. Preferably, the helper molecule is one, which specifically recognizes the protease site in a reversible manner, and easily can be removed during the subsequent purification steps. For example, benzamidine is a suitable reversible active site inhibitor for FVIIa.

According to a further aspect of the invention there is provided a conjugated protein or glycoprotein obtainable by a process as hereinbefore defined.
According to a further aspect of the invention there is provided a conjugated blood coagulation factor obtainable by a process as hereinbefore defined.
According to a further aspect of the invention there is provided a conjugated blood coagulation factor comprising a blood coagulation factor as defined herein conjugated to a modifier group as defined herein.

Examples of suitable blood coagulation factors include: I (fibrinogen), II
(prothrombin), tissue factor, V (proaccelerin), VI, VII, VIII, IX (Christmas factor), X (Stuart-Prower factor), XI (plasma thromboplastin antecedent), XII
(Hageman factor), XIII (fibrin-stabilizing factor), von Willebrand factor, prekallikrein, high molecular weight kininogen (HMWK), fibronectin, antithrombin III, heparin cofactor II, protein C, protein S, protein Z, protein Z-related protease inhibitor (ZPI), plasminogen, alpha 2-antiplasmin, tissue plasminogen activator (tPA), urokinase, plasminogen activator inhibitor-1 (PAI1), plasminogen activator inhibitor-2 (PAI2) and cancer procoagulant.

The invention also encompasses non natural engineered proteins with coagulation activities, such as tissue factor (TF) analogues, TF fusion proteins or TF chimeras having increased affinity for activated platelets, for example, TF-Annexin V, TF-antibody fusion proteins and other TF-fusion proteins including chimeras where the non-TF component increases binding affinity to epitopes expressed on activated platelets. Other examples of proteins with coagulation activity include tissue factor pathway inhibitor antagonists, including anti TFPI
antibodies or fragments thereof, as well as thrombin activatable Factor X.
Further examples include FVIII-mimicking bispecific MAB.

In one embodiment, the blood coagulation factor is factor VIIa (FVIIa), factor VIII (FVIII) or factor IX (FIX). In a further embodiment, the blood coagulation factor is factor VIIa (FVIIa).

10 In one embodiment the blood coagulation factor is a factor VIIa (FVIIa), a factor VIII (FVIII) or a factor IX (FIX) analogue. In a further embodiment, the blood coagulation factor is a factor VIIa (FVIIa) analogue.

In one embodiment, the modifier group exhibits a protraction effect by binding 15 to albumin. Albumin, which is present in large amount in blood, binds small molecular fatty acids with micro to nanomolar affinities. If the fatty acid is attached to a larger molecule such as a peptide, the conjugate may bind specifically to albumin present in the blood. Albumin may then function as a large carrier molecule, that by its size protect the peptide from renal clearance 20 or proteolytical attack. The principle is well documented for smaller peptides such as GLP-1 and insulin, but unexpectedly we have found that this type of modifier group also protract larger proteins such as clot factors of similar size to albumin, i.e. proteins that by themself should be large enough to evade renal clearance.
Furthermore, it is surprising that complexes between large proteins of comparable size may be held together by lipophilic forces exerted by modifier groups as defined herein and in particular those comprising a compound of formula I.
Thus as indicated above, the attachment of albumin binders to proteins or peptides has been shown to potentially increase the plasma half life of said proteins or peptides. A class of typical albumin binders are derived from fatty acids, because albumin is capable of binding to highly hydrophobic molecules.

Therefore, compounds having a -(CH2)12- moiety are possible albumin binders in the context of this invention. If an albumin binder, which is defined as above, is attached to a protein or peptide and results in an increased plasma half life of said protein or peptide, it is understood that the albumin binder is a moiety, which increases the plasma half life as described in this invention, contributes to the overall increase of plasma half life by either binding to albumin and/or by other protraction mechanisms such as unspecific binding to lipid layers, etc.

In some embodiments, the preparations of the present invention exhibit a relative bioavailability of at least about 110%, preferably at least about 120%, more preferably at least about 130% and most preferably at least about 140%
of the bioavailability of the corresponding un-modified protein. The bioavailability may be measured in any mammalian species, preferably dogs, and the predetermined times used for calculating AUC may encompass different increments from 10 min- 8 h. Bioavailability may, for example, be measured in a dog model as follows: The experiment is performed as a four leg cross-over study in 12 Beagle dogs divided in four groups. All animals receive a test preparation A and a reference preparation B at a dose of about 90 fag/kg in a suitable buffer such as glycylglycine buffer (pH 5.5) containing sodium chloride (2.92 mg/ml), calcium chloride dihydrate (1.47 mg/ml), mannitol (30 mg/ml) and polysorbate 80. Blood samples are drawn at 10, 30, and 60 minutes and 2, 3, 4, 6 and 8 hours following the initial administration. Plasma is obtained from the samples and protein is quantified by ELISA.

In one embodiment the modifier group comprises a fatty acid derivative. In a further embodiment, the modifier group comprises a C12, C14, C16, C18 and C20 fatty acid derivative. Without being bound by theory, and as previously mentioned, it is believed that albumin, which is present in large amount in blood, binds small molecular fatty acids with micro to nanomolar affinities.
Albumin thereby functions as a carrier molecule, which protects the peptide from renal clearance, neutralising antibodies, receptor mediated clearance or proteolytical attack. Therefore, the present invention provides conjugated blood coagulation factor analogues having increased in vivo plasma half-lives when compared to the corresponding non-conjugated factor.

In one embodiment the modifier group comprises a compound of formula (II):
O
R1 .~*
(II) wherein R1 represents hydrogen, -COOH, tetrazolyl, or -C(=O)-NHS(=O)2-R2;
n is an integer selected from any one of 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25; and _ R2 represents C1_6alkyl, phenyl, C1_6alkylphenyl, C1_20alkyltetrazolyl or C1 2oa l kyl ca rboxyl .
In one embodiment R1 represents -COOH and n represents an integer selected from 12 to 18 (e.g. 12, 14, 16 or 18).

In one embodiment the modifier group comprises a compound of formula (III):

HO
N H IOI H H
0 H =rN N"- 0 0./~.N0 , (III) In one embodiment, the modifier group and/or blood coagulation factor additionally comprise a conjugation moiety configured to facilitate conjugation.
For example, in one embodiment the modifier group comprises a conjugation moiety selected from a hydroxylamine moiety. Such hydroxylamine moiety will be suitable for conjugation to a variety of functionalized blood coagulation factors (e.g. oxidized derivatives of blood coagulation factors). Such oxidized derivatives of blood coagulation factors may be prepared by direct oxidation (e.g. with periodic acid) when glycan moieties are present on the blood coagulation factor (as described in WO 2008/025856), or suitably excised to allow for oxidation with galactose oxidase (as described in WO 2005/014035).
In the event that an exposed galactose or sialic acid residue is not present on the blood coagulation factor they can be galactosylated or sialylated before oxidation using galactosyltransferase or sialyltransferase.

In an alternative embodiment the modifier group comprises a conjugation moiety selected from a maleimide or haloacetate moiety. Such maleimide and haloacetate moieties will be suitable for conjugation to a variety of functionalized blood coagulation factors (e.g. a blood coagulation factor having a free or partly free cysteine residue). It will be appreciated that blood coagulation factors may be engineered to hold a free, or partly free cysteine residue (as described in WO
2006/134174). In certain cases, cysteine residues may be partly blocked by a mixed disulfide to e.g. glutathione. In such cases, it may be removed before conjugation by careful adjustment of the redox potential (GSSG/GSH) in the presence of glutaredoxin. Surface exposed cysteines may also be de-blocked chemically by use of e.g. phosphine based reducing agents such as tricarboxyethylphosphine or tris(3-sulfonato phenyl)phosphine (as described in US2006/0115876). Free thiols on the clot factor may also be reacted with activated sulfides such as thiopyridyl activated sulfides, to form mixed disulfides.

In alternative embodiments the blood coagulation factor may be conjugated to the modifier group using N-terminal serine oxidation followed by e.g.
oximation (as described in WO 2006/122982), C-terminal transpeptidation using carboxypeptidase (as described in WO 2005/035553) and suitably designed modifier group derivatives, by use of transglutaminase (as described in WO
2005/070468) or by direct acylation on lysine side chains using e.g. NHS ester or hydrozybenzotriazolyl ester activated modifier groups.

The conjugated blood coagulation factors of the invention and pharmaceutical compositions comprising the conjugated blood coagulation factors may be used in the treatment of diseases alleviated by administration of blood coagulation factors (e.g. FVII(a), FVIII or FIX), such as a bleeding disorder e.g.
hemophilia, a blood disease, hemarthrosis, hematomas, mucocutaneous bleeding, inherited blood disease, familial bleeding disorder, familial blood disease or factor replacement therapy. In one embodiment, the disease alleviated by administration of a blood coagulation factor is hemophilia, such as hemophilia B
or Christmas disease.

Thus according to a further aspect of the invention there is provided a method of treating hemophilia which comprises administering to a patient a therapeutically effective amount of a conjugated blood coagulation factor as defined hereinbefore.
There is also provided a conjugated blood coagulation factor as defined hereinbefore for use in the treatment of hemophilia.

There is also provided the use of a conjugated blood coagulation factor as defined hereinbefore in the manufacture of a medicament for the treatment of hemophilia.
There is also provided a pharmaceutical composition comprising a conjugated blood coagulation factor as defined hereinbefore for use in the treatment of hemophilia.

It is to be understood, that therapeutic and prophylactic (preventive) regimes represent separate aspects of the present invention. In particular, it should be understood that the present invention provides conjugated blood coagulation factors with increased plasma half-lives which make them desirable for the prophylactic treatment of hemophilia. Such prophylactic treatment of hemophilia constitutes a preferred embodiment of the invention.

According to a further aspect of the invention, there is provided a pharmaceutical formulation comprising a conjugated blood coagulation factor as hereinbefore defined.
The formulation may further comprise a buffer system, preservative(s), tonicity agent(s), chelating agent(s), stabilizers and surfactants. In one embodiment of the invention the pharmaceutical formulation is an aqueous formulation, i.e.
formulation comprising water. Such formulation is typically a solution or a suspension. In one embodiment of the invention the pharmaceutical formulation is an aqueous solution.

In one embodiment the pharmaceutical formulation is a freeze-dried 5 formulation, whereto the physician or the patient adds solvents and/or diluents prior to use.

In one embodiment the pharmaceutical formulation is a dried formulation (e.g.
freeze-dried or spray-dried) ready for use without any prior dissolution.
In one embodiment the invention relates to a pharmaceutical formulation comprising an aqueous solution of a conjugated blood coagulation factor of the present invention, and a buffer, wherein said conjugated blood coagulation factor is present in a concentration from 0.1-100 mg/ml, and wherein said formulation has a pH from about 2.0 to about 10Ø

In one embodiment of the invention the pH of the formulation is selected from the list consisting of 2.0, 2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 2.8, 2.9, 3.0, 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 4.0, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 5.0, 5.1, 5.2, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.9, 6.0, 6.1, 6.2, 6.3, 6.4, 6.5, 6.6, 6.7, 6.8, 6.9, 7.0, 7.1, 7.2, 7.3, 7.4, 7.5, 7.6, 7.7, 7.8, 7.9, 8.0, 8.1, 8.2, 8.3, 8.4, 8.5, 8.6, 8.7, 8.8, 8.9, 9.0, 9.1, 9.2, 9.3, 9.4, 9.5, 9.6, 9.7, 9.8, 9.9, and 10Ø

In one embodiment of the invention the buffer is selected from the group consisting of sodium acetate, sodium carbonate, citrate, glycylglycine, (2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES), 3-(N-morpholino)propanesulfonic acid (MOPS); 2-(N-morpholino)ethanesulfonic acid (MES); N-cyclohexyl-3-aminopropanesulfonic acid (CAPS); N-Cyclohexyl-2-aminoethanesulfonic acid (CHES); histidine, glycine, lysine, arginine, sodium dihydrogen phosphate, disodium hydrogen phosphate, sodium phosphate, and tris(hydroxymethyl)-aminomethan, bicine, tricine, malic acid, succinate, maleic acid, fumaric acid, tartaric acid, aspartic acid or mixtures thereof. Each one of these specific buffers constitutes an alternative embodiment of the invention.

In one embodiment of the invention the formulation further comprises an active site inhibitor.

In one embodiment of the invention the formulation further comprises a pharmaceutically acceptable preservative. In one embodiment of the invention the preservative is selected from the group consisting of phenol, o-cresol, m-cresol, p-cresol, methyl p-hydroxybenzoate, propyl p-hydroxybenzoate, 2-phenoxyethanol, butyl p-hydroxybenzoate, 2-phenylethanol, benzyl alcohol, chlorobutanol, and thiomerosal, bronopol, benzoic acid, imidurea, chlorohexidine, sodium dehydroacetate, chlorocresol, ethyl p-hydroxybenzoate, benzethonium chloride, chlorphenesine (3p-chlorphenoxypropane-1,2-diol) or mixtures thereof.

In one embodiment of the invention the preservative is present in a concentration from 0.1 mg/ml to 20 mg/ml. In one embodiment of the invention the preservative is present in a concentration from 0.1 mg/ml to 5 mg/ml. In one embodiment of the invention the preservative is present in a concentration from 5 mg/ml to 10 mg/ml. In one embodiment of the invention the preservative is present in a concentration from 10 mg/ml to 20 mg/ml. Each one of these specific preservatives constitutes an alternative embodiment of the invention. The use of a preservative in pharmaceutical compositions is well-known to the skilled person. For convenience reference is made to Remington:
The Science and Practice of Pharmacy, 20th edition, 2000.
In one embodiment of the invention the formulation further comprises an isotonic agent. In one embodiment of the invention the isotonic agent is selected from the group consisting of a salt (e.g. sodium chloride), a sugar or sugar alcohol, an amino acid (e.g. L-glycine, L-histidine, arginine, lysine, isoleucine, aspartic acid, tryptophan, threonine), an alditol (e.g. glycerol (glycerine), 1,2-propanediol (propyleneglycol), 1,3-propanediol, 1,3-butanediol) polyethyleneglycol (e.g. PEG400), or mixtures thereof. Any sugar such as mono-, di-, or polysaccharides, or water-soluble glucans, including for example fructose, glucose, mannose, sorbose, xylose, maltose, lactose, sucrose, trehalose, dextran, pullulan, dextrin, cyclodextrin, soluble starch, hydroxyethyl starch and carboxymethylcellulose-Na may be used. In one embodiment the sugar additive is sucrose. Sugar alcohol is defined as a C4-C8 hydrocarbon having at least one -OH group and includes, for example, mannitol, sorbitol, inositol, galactitol, dulcitol, xylitol, and arabitol. In one embodiment the sugar alcohol additive is mannitol. The sugars or sugar alcohols mentioned above may be used individually or in combination. There is no fixed limit to the amount used, as long as the sugar or sugar alcohol is soluble in the liquid preparation and does not adversely affect the stabilizing effects achieved using the methods of the invention. In one embodiment, the sugar or sugar alcohol concentration is between about 1 mg/ml and about 150 mg/ml. In one embodiment of the invention the isotonic agent is present in a concentration from 1 mg/ml to 50 mg/ml. In one embodiment of the invention the isotonic agent is present in a concentration from 1 mg/ml to 7 mg/ml. In one embodiment of the invention the isotonic agent is present in a concentration from 8 mg/ml to 24 mg/ml. In one embodiment of the invention the isotonic agent is present in a concentration from 25 mg/ml to 50 mg/ml. Each one of these specific isotonic agents constitutes an alternative embodiment of the invention. The use of an isotonic agent in pharmaceutical compositions is well-known to the skilled person. For convenience reference is made to Remington: The Science and Practice of Pharmacy, 20th edition, 2000.

In one embodiment of the invention the formulation further comprises a chelating agent. In one embodiment of the invention the chelating agent is selected from salts of ethylenediaminetetraacetic acid (EDTA), citric acid, and aspartic acid, and mixtures thereof. In one embodiment of the invention the chelating agent is present in a concentration from 0.1mg/ml to 5mg/ml. In one embodiment of the invention the chelating agent is present in a concentration from 0.1mg/ml to 2mg/ml. In one embodiment of the invention the chelating agent is present in a concentration from 2mg/ml to 5mg/ml. Each one of these specific chelating agents constitutes an alternative embodiment of the invention.
The use of a chelating agent in pharmaceutical compositions is well-known to the skilled person. For convenience reference is made to Remington: The Science and Practice of Pharmacy, 20th edition, 2000.

In one embodiment of the invention the formulation further comprises a stabilizer. The use of a stabilizer in pharmaceutical compositions is well-known to the skilled person. For convenience reference is made to Remington: The Science and Practice of Pharmacy, 20th edition, 2000.

More particularly, compositions of the invention are stabilized liquid pharmaceutical compositions whose therapeutically active components include a polypeptide that possibly exhibits aggregate formation during storage in liquid pharmaceutical formulations. By "aggregate formation" is intended a physical interaction between the polypeptide molecules that results in formation of oligomers, which may remain soluble, or large visible aggregates that precipitate from the solution. By "during storage" is intended a liquid pharmaceutical composition or formulation once prepared, is not immediately administered to a subject. Rather, following preparation, it is packaged for storage, either in a liquid form, in a frozen state, or in a dried form for later reconstitution into a liquid form or other form suitable for administration to a subject. By "dried form"
is intended the liquid pharmaceutical composition or formulation is dried either by freeze drying (i.e., lyophilization; see, for example, Williams and Polli (1984) 3. Parenteral Sci. Technol. 38:48-59), spray drying (see Masters (1991) in Spray-Drying Handbook (5th ed; Longman Scientific and Technical, Essez, U.K.), pp. 491-676; Broadhead et al. (1992) Drug Devel. Ind. Pharm. 18:1169-1206;
and Mumenthaler et al. (1994) Pharm. Res. 11:12-20), or air drying (Carpenter and Crowe (1988) Cryobiology 25:459-470; and Roser (1991) Biopharm. 4:47-53).

Aggregate formation by a polypeptide during storage of a liquid pharmaceutical composition can adversely affect biological activity of that polypeptide, resulting in loss of therapeutic efficacy of the pharmaceutical composition.
Furthermore, aggregate formation may cause other problems such as blockage of tubing, membranes, or pumps when the polypeptide-containing pharmaceutical composition is administered using an infusion system.

The pharmaceutical compositions of the invention may further comprise an amount of an amino acid base sufficient to decrease aggregate formation by the polypeptide during storage of the composition. By "amino acid base" is intended an amino acid or a combination of amino acids, where any given amino acid is present either in its free base form or in its salt form. Where a combination of amino acids is used, all of the amino acids may be present in their free base forms, all may be present in their salt forms, or some may be present in their free base forms while others are present in their salt forms. In one embodiment, amino acids to use in preparing the compositions of the invention are those carrying a charged side chain, such as arginine, lysine, aspartic acid, and glutamic acid. Any stereoisomer (i.e., L, D, or mixtures thereof) of a particular amino acid (e.g. methionine, histidine, imidazole, arginine, lysine, isoleucine, aspartic acid, tryptophan, threonine and mixtures thereof) or combinations of these stereoisomers, may be present in the pharmaceutical compositions of the invention so long as the particular amino acid is present either in its free base form or its salt form. In one embodiment the L-stereoisomer is used.
Compositions of the invention may also be formulated with analogues of these amino acids. By "amino acid analogue" is intended a derivative of the naturally occurring amino acid that brings about the desired effect of decreasing aggregate formation by the polypeptide during storage of the liquid pharmaceutical compositions of the invention. Suitable arginine analogues include, for example, aminoguanidine, ornithine and N-monoethyl L-arginine, suitable methionine analogues include ethionine and buthionine and suitable cysteine analogues include S-methyl-L cysteine. As with the other amino acids, the amino acid analogues are incorporated into the compositions in either their free base form or their salt form. In one embodiment of the invention the amino acids or amino acid analogues are used in a concentration, which is sufficient to prevent or delay aggregation of the protein.

In one embodiment of the invention methionine (or other sulphuric amino acids or amino acid analogous) may be added to inhibit oxidation of methionine residues to methionine sulfoxide when the polypeptide acting as the therapeutic agent is a polypeptide comprising at least one methionine residue susceptible to such oxidation. By "inhibit" is intended minimal accumulation of methionine oxidized species over time. Inhibiting methionine oxidation results in greater retention of the polypeptide in its proper molecular form. Any stereoisomer of methionine (L, D, or mixtures thereof) or combinations thereof can be used.
The amount to be added should be an amount sufficient to inhibit oxidation of the 5 methionine residues such that the amount of methionine sulfoxide is acceptable to regulatory agencies. Typically, this means that the composition contains no more than about 10% to about 30% methionine sulfoxide. Generally, this can be achieved by adding methionine such that the ratio of methionine added to methionine residues ranges from about 1:1 to about 1000:1, such as 10:1 to 10 about 100:1.

In one embodiment of the invention the formulation further comprises a stabilizer selected from the group of high molecular weight polymers or low molecular compounds. In one embodiment of the invention the stabilizer is 15 selected from polyethylene glycol (e.g. PEG 3350), polyvinyl alcohol (PVA), polyvinylpyrrolidone, carboxy-/hydroxycellulose or derivates thereof (e.g.
HPC, HPC-SL, HPC-L and HPMC), cyclodextrins, sulphur-containing substances as monothioglycerol, thioglycolic acid and 2-methylthioethanol, and different salts (e.g. sodium chloride). Each one of these specific stabilizers constitutes an 20 alternative embodiment of the invention.

The pharmaceutical compositions may also comprise additional stabilizing agents, which further enhance stability of a therapeutically active polypeptide therein. Stabilizing agents of particular interest to the present invention include, 25 but are not limited to, methionine and EDTA, which protect the polypeptide against methionine oxidation, and a nonionic surfactant, which protects the polypeptide against aggregation associated with freeze-thawing or mechanical shearing.

30 In one embodiment of the invention the formulation further comprises a surfactant. In one embodiment of the invention the surfactant is selected from a detergent, ethoxylated castor oil, polyglycolyzed glycerides, acetylated monoglycerides, sorbitan fatty acid esters, polyoxypropylene-polyoxyethylene block polymers (eg. poloxamers such as Pluronic F68, poloxamer 188 and 407, Triton X-100), polyoxyethylene sorbitan fatty acid esters, polyoxyethylene and polyethylene derivatives such as alkylated and alkoxylated derivatives (tweens, e.g. Tween-20, Tween-40, Tween-80 and Brij-35), monoglycerides or ethoxylated derivatives thereof, diglycerides or polyoxyethylene derivatives thereof, alcohols, glycerol, lectins and phospholipids (eg. phosphatidyl serine, phosphatidyl choline, phosphatidyl ethanolamine, phosphatidyl inositol, diphosphatidyl glycerol and sphingomyelin), derivates of phospholipids (eg.
dipalmitoyl phosphatidic acid) and lysophospholipids (eg. palmitoyl lysophosphatidyl-L-serine and 1-acyl-sn-glycero-3-phosphate esters of ethanolamine, choline, serine or threonine) and alkyl, alkoxyl (alkyl ester), alkoxy (alkyl ether)- derivatives of lysophosphatidyl and phosphatidylcholines, e.g. lauroyl and myristoyl derivatives of lysophosphatidylcholine, dipalmitoylphosphatidylcholine, and modifications of the polar head group, that is cholines, ethanolamines, phosphatidic acid, serines, threonines, glycerol, inositol, and the positively charged DODAC, DOTMA, DCP, BISHOP, lysophosphatidylserine and lysophosphatidylthreonine, and glycerophospholipids (eg. cephalins), glyceroglycolipids (eg. galactopyransoide), sphingoglycolipids (eg. ceramides, gangliosides), dodecylphosphocholine, hen egg lysolecithin, fusidic acid derivatives- (e.g. sodium tauro-dihydrofusidate etc.), long-chain fatty acids and salts thereof C6-C12 (eg. oleic acid and caprylic acid), acylcarnitines and derivatives, Na-acylated derivatives of lysine, arginine or histidine, or side-chain acylated derivatives of lysine or arginine, Na-acylated derivatives of dipeptides comprising any combination of lysine, arginine or histidine and a neutral or acidic amino acid, Na-acylated derivative of a tripeptide comprising any combination of a neutral amino acid and two charged amino acids, DSS (docusate sodium, CAS registry no [577-11-7]), docusate calcium, CAS registry no [128-49-4]), docusate potassium, CAS registry no [7491-09-0]), SDS (sodium dodecyl sulphate or sodium lauryl sulphate), sodium caprylate, cholic acid or derivatives thereof, bile acids and salts thereof and glycine or taurine conjugates, ursodeoxycholic acid, sodium cholate, sodium deoxycholate, sodium taurocholate, sodium glycocholate, N-Hexadecyl-N,N-dimethyl-3-ammonio-l-propanesulfonate, anionic (alkyl-aryl-sulphonates) monovalent surfactants, zwitterionic surfactants (e.g. N-alkyl-N,N-dimethylammonio-l-propanesulfonates, 3-cholamido-l-propyldimethylammonio-l-propanesulfonate, cationic surfactants (quaternary ammonium bases) (e.g. cetyl-trimethylammonium bromide, cetylpyridinium chloride), non-ionic surfactants (eg. Dodecyl p-D-glucopyranoside), poloxamines (eg. Tetronic's), which are tetrafunctional block copolymers derived from sequential addition of propylene oxide and ethylene oxide to ethylenediamine, or the surfactant may be selected from the group of imidazoline derivatives, or mixtures thereof. Each one of these specific surfactants constitutes an alternative embodiment of the invention.

The use of a surfactant in pharmaceutical compositions is well-known to the skilled person. For convenience reference is made to Remington: The Science and Practice of Pharmacy, 20th edition, 2000.

It is possible that other ingredients may be present in the pharmaceutical formulation of the present invention. Such additional ingredients may include wetting agents, emulsifiers, antioxidants, bulking agents, tonicity modifiers, chelating agents, metal ions, oleaginous vehicles, proteins (e.g., human serum albumin, gelatine or proteins) and a zwitterion (e.g., an amino acid such as betaine, taurine, arginine, glycine, lysine and histidine). Such additional ingredients, of course, should not adversely affect the overall stability of the pharmaceutical formulation of the present invention.

Pharmaceutical compositions containing a conjugated blood coagulation factor of the present invention may be administered to a patient in need of such treatment at several sites, for example, at topical sites, for example, skin and mucosal sites, at sites which bypass absorption, for example, administration in an artery, in a vein, in the heart, and at sites which involve absorption, for example, administration in the skin, under the skin, in a muscle or in the abdomen.

Administration of pharmaceutical compositions according to the invention may be through several routes of administration, for example, lingual, sublingual, buccal, in the mouth, oral, in the stomach and intestine, nasal, pulmonary, for example, through the bronchioles and alveoli or a combination thereof, epidermal, dermal, transdermal, vaginal, rectal, ocular, for examples through the conjunctiva, uretal, and parenteral to patients in need of such a treatment.
Compositions of the current invention may be administered in several dosage forms, for example, as solutions, suspensions, emulsions, microemulsions, multiple emulsion, foams, salves, pastes, plasters, ointments, tablets, coated tablets, rinses, capsules, for example, hard gelatine capsules and soft gelatine capsules, suppositories, rectal capsules, drops, gels, sprays, powder, aerosols, inhalants, eye drops, ophthalmic ointments, ophthalmic rinses, vaginal pessaries, vaginal rings, vaginal ointments, injection solution, in situ transforming solutions, for example in situ gelling, in situ setting, in situ precipitating, in situ crystallization, infusion solution, and implants.
Compositions of the invention may further be compounded in, or attached to, for example through covalent, hydrophobic and electrostatic interactions, a drug carrier, drug delivery system and advanced drug delivery system in order to further enhance stability of the peptide of the present invention, increase bioavailability, increase solubility, decrease adverse effects, achieve chronotherapy well known to those skilled in the art, and increase patient compliance or any combination thereof. Examples of carriers, drug delivery systems and advanced drug delivery systems include, but are not limited to, polymers, for example cellulose and derivatives, polysaccharides, for example dextran and derivatives, starch and derivatives, poly(vinyl alcohol), acrylate and methacrylate polymers, polylactic and polyglycolic acid and block co-polymers thereof, polyethylene glycols, carrier proteins, for example albumin, gels, for example, thermogelling systems, for example block co-polymeric systems well known to those skilled in the art, micelles, liposomes, microspheres, nanoparticulates, liquid crystals and dispersions thereof, L2 phase and dispersions there of, well known to those skilled in the art of phase behaviour in lipid-water systems, polymeric micelles, multiple emulsions, self-emulsifying, self-microemulsifying, cyclodextrins and derivatives thereof, and dendrimers.
Compositions of the current invention are useful in the formulation of solids, semisolids, powder and solutions for pulmonary administration of a peptide of the present invention, using, for example a metered dose inhaler, dry powder inhaler and a nebulizer, all being devices well known to those skilled in the art.
Compositions of the current invention are specifically useful in the formulation of controlled, sustained, protracting, retarded, and slow release drug delivery systems. More specifically, but not limited to, compositions are useful in formulation of parenteral controlled release and sustained release systems (both systems leading to a many-fold reduction in number of administrations), well known to those skilled in the art. Even more preferably, are controlled release and sustained release systems administered subcutaneous. Without limiting the scope of the invention, examples of useful controlled release system and compositions are hydrogels, oleaginous gels, liquid crystals, polymeric micelles, microspheres and nanoparticles.

Methods to produce controlled release systems useful for compositions of the current invention include, but are not limited to, crystallization, condensation, co-crystallization, precipitation, co-precipitation, emulsification, dispersion, high pressure homogenisation, encapsulation, spray drying, microencapsulating, coacervation, phase separation, solvent evaporation to produce microspheres, extrusion and supercritical fluid processes. General reference is made to Handbook of Pharmaceutical Controlled Release (Wise, D.L., ed. Marcel Dekker, New York, 2000) and Drug and the Pharmaceutical Sciences vol. 99: Protein Formulation and Delivery (MacNally, E.J., ed. Marcel Dekker, New York, 2000).

Parenteral administration may be performed by subcutaneous, intramuscular, intraperitoneal or intravenous injection by means of a syringe, optionally a pen-like syringe. Alternatively, parenteral administration can be performed by means of an infusion pump. A further option is a composition which may be a solution or suspension for the administration of the peptide of the present invention in the form of a nasal or pulmonal spray. As a still further option, the pharmaceutical compositions containing the peptide of the present invention can also be adapted to transdermal administration, e.g. by needle-free injection or from a patch, optionally an iontophoretic patch, or transmucosal, e.g. buccal, administration.

The term "stabilized composition" refers to a composition with increased physical stability, increased chemical stability or increased physical and chemical stability.

5 The term "physical stability" of the protein composition as used herein refers to the tendency of the protein to form biologically inactive and/or insoluble aggregates of the protein as a result of exposure of the protein to thermo-mechanical stresses and/or interaction with interfaces and surfaces that are destabilizing, such as hydrophobic surfaces and interfaces. Physical stability of 10 the aqueous protein compositions is evaluated by means of visual inspection and/or turbidity measurements after exposing the composition filled in suitable containers (e.g. cartridges or vials) to mechanical/physical stress (e.g.
agitation) at different temperatures for various time periods. Visual inspection of the compositions is performed in a sharp focused light with a dark background. The 15 turbidity of the composition is characterized by a visual score ranking the degree of turbidity for instance on a scale from 0 to 3 (a composition showing no turbidity corresponds to a visual score 0, and a composition showing visual turbidity in daylight corresponds to visual score 3). A composition is classified physical unstable with respect to protein aggregation, when it shows visual 20 turbidity in daylight. Alternatively, the turbidity of the composition can be evaluated by simple turbidity measurements well-known to the skilled person.
Physical stability of the aqueous protein compositions can also be evaluated by using a spectroscopic agent or probe of the conformational status of the protein.
The probe is preferably a small molecule that preferentially binds to a non-native 25 conformer of the protein. One example of a small molecular spectroscopic probe of protein structure is Thioflavin T. Thioflavin T is a fluorescent dye that has been widely used for the detection of amyloid fibrils. In the presence of fibrils, and perhaps other protein configurations as well, Thioflavin T gives rise to a new excitation maximum at about 450 nm and enhanced emission at about 482 nm 30 when bound to a fibril protein form. Unbound Thioflavin T is essentially non-fluorescent at the wavelengths.

Other small molecules can be used as probes of the changes in protein structure from native to non-native states. For instance the "hydrophobic patch" probes that bind preferentially to exposed hydrophobic patches of a protein. The hydrophobic patches are generally buried within the tertiary structure of a protein in its native state, but become exposed as a protein begins to unfold or denature. Examples of these small molecular, spectroscopic probes are aromatic, hydrophobic dyes, such as antrhacene, acridine, phenanthroline or the like. Other spectroscopic probes are metal-amino acid complexes, such as cobalt metal complexes of hydrophobic amino acids, such as phenylalanine, leucine, isoleucine, methionine, and valine, or the like.

The term "chemical stability" of the protein composition as used herein refers to chemical covalent changes in the protein structure leading to formation of chemical degradation products with potential less biological potency and/or potential increased immunogenic properties compared to the native protein structure. Various chemical degradation products can be formed depending on the type and nature of the native protein and the environment to which the protein is exposed. Elimination of chemical degradation can most probably not be completely avoided and increasing amounts of chemical degradation products is often seen during storage and use of the protein composition as well-known by the person skilled in the art. Most proteins are prone to deamidation, a process in which the side chain amide group in glutaminyl or asparaginyl residues is hydrolysed to form a free carboxylic acid. Other degradations pathways involves formation of high molecular weight transformation products where two or more protein molecules are covalently bound to each other through transamidation and/or disulfide interactions leading to formation of covalently bound dimer, oligomer and polymer degradation products (Stability of Protein Pharmaceuticals, Ahern. T.J. & Manning M.C., Plenum Press, New York 1992). Oxidation (of for instance methionine residues) can be mentioned as another variant of chemical degradation. The chemical stability of the protein composition can be evaluated by measuring the amount of the chemical degradation products at various time-points after exposure to different environmental conditions (the formation of degradation products can often be accelerated by for instance increasing temperature). The amount of each individual degradation product is often determined by separation of the degradation products depending on molecule size and/or charge using various chromatography techniques (e.g. SEC-HPLC and/or RP-HPLC).

Hence, as outlined above, a "stabilized composition" refers to a composition with increased physical stability, increased chemical stability or increased physical and chemical stability. In general, a composition must be stable during use and storage (in compliance with recommended use and storage conditions) until the expiration date is reached.

In one embodiment of the invention the pharmaceutical composition comprising the protein conjugate of formula (I) is stable for more than 6 weeks of usage and for more than 3 years of storage.

In another embodiment of the invention the pharmaceutical composition comprising the protein conjugate of formula (I) is stable for more than 4 weeks of usage and for more than 3 years of storage.

In a further embodiment of the invention the pharmaceutical composition comprising the protein conjugate of formula (I) is stable for more than 4 weeks of usage and for more than two years of storage.

In an even further embodiment of the invention the pharmaceutical composition comprising the protein conjugate of formula (I) is stable for more than 2 weeks of usage and for more than two years of storage.
In an even further embodiment of the invention the pharmaceutical composition comprising the protein conjugate of formula (I) is stable for more than 1 week of usage and for more than six months of storage.

General methods of preparation A-W-B- moieties may be attached to proteins enzymatically, or via a chemical reactive group. The choice of reactive group depends on the functionality present on the albumin binder, and the functionality at the protein to modify.

(a) Chemical reactive groups Activated esters Activated esters are in general reactive towards amino functions, such as epsilon aminogroups on lysine residues, and the amino group present in the N-terminal of the peptide/protein chain.

O O
Protein - NH2 + N_OUB-W-A IN- Protein -NAB-W-A
IOI H
O

Suitable activated esters include N-hydroxysuccimidyl esters, but other activated esters are known to the skilled person, such as hydroxybenzotriazole esters, 3,4-dihydro-3-hydroxy-4-oxo-1,2,3-benzotriazine, 7-azabenzotriazol-1-yl esters or the like.

In one embodiment, a protein is acylated with a water insoluble albumin binder derivatized as activated ester in aqueous solution in the presence of cyclodextrin or a cyclodextrin derivative.

Coupling to free thiol groups Proteins may contain free thiol groups that can be reacted with maleimide derivatized albumin binders as depicted below:

N-B-W-A Protein-S N-B-W-A
Protein - SH +

Other thiol reactive groups include haloacetamides, for example iodoacetamides or bromoacetamides, and S-thiopyridyl groups.

In one embodiment, a protein containing a free thiol group is reacted with a water-insoluble albumin binder functionalized with a maleimide group, in aqueous solution in the presence of cyclodextrin or a cyclodextrin derivative.

Coupling to aldehyde groups Aldehyde functionalities can be generated on a protein by mild oxidation of N-terminal serine or threonine residues, or by mild oxidation of glycan moieties on a glycoprotein as described in WO 2008/025856 A2. Albumin binders functionalized with hydroxylamine, hydrazine or hydrazides can subsequently be coupled to the protein as depicted below:
oxidation Protein Protein - CHO

NHzO-B-W-A 1 10. Protein - CH=N-O-B-W-A
In one embodiment, a protein is oxidized so it contains an aldehyde functionality, and subsequently reacted with a water-insoluble albumin binder functionalized with a hydroxylamine group, in aqueous solution in the presence of cyclodextrin or a cyclodextrin derivative.

(b) Enzymatic couplings Albumin binders may be coupled to proteins using enzymes.
Galactose oxidase Glycoproteins containing galactose terminals may be oxidized enzymatically using galactose oxidase (EC. 1.1.3.9) as described in WO 2005/014035 A2.
Galactose residues on glycoproteins are frequently not directly accessible for enzymatic oxidation, as they are blocked by the presence of sialic acids. In such cases, the sialic acids needs to be removed by the use of sialidases/neuraminidases or by mild acid hydrolysism before oxidation is possible.

Optional remodelling Galactose Oxidase Protein Protein - CHO

NHzO-B-W-A I M. Protein - CH=N-O-B-W-A

In one embodiment, a glycoprotein is oxidized using galactose oxidase so it contains aldehyde functionality, and subsequently reacted with a water-insoluble 5 albumin binder functionalized with a hydroxylamine group, in aqueous solution in the presence of cyclodextrin or a cyclodextrin derivative.
Transglutaminase Transglutaminase (E.C.2.3.2.13) is also known as protein-glutamine-y-10 glutamyltransferase and catalyses the general reaction O O
Q--LNHz + Q'-NH2 - Q11 N-Q' + NH3 H

Q-C(O)-NH2 (amine acceptor) may represent a glutamine residue containing peptide or protein and Q'-NH2 (amine donor) represents an amine-containing nucleophile. Alternatively, Q-C(O)-NH2 and Q'-NHZ may represent an amine 15 acceptor and a lysine-containing peptide or protein, respectively. In the present invention, however, Q-C(O)-NH2 represents a glutamine residue containing protein and Q'-NH2 represents an amine-containing nucleophile as indicated above.

20 Examples of useful transglutaminases include microbial transglutaminases, such as e.g. those from Streptomyces mobaraense, Streptomyces cinnamoneum and Streptomyces griseocarneum (all disclosed in US 5,156,956, which is incorporated herein by reference), and from Streptomyces lavendulae (disclosed in US 5,252,469, which is incorporated herein by reference) and Streptomyces 25 ladakanum (JP 2003/199569, which is incorporated herein by reference). It should be noted that members of the former genus Streptoverticillium are now included in the genus Streptomyces (Kaempfer, J. Gen. Microbiol. 137, 1831-1892 (1991)). Other useful microbial transglutaminases have been isolated from Bacillus subtilis (disclosed in US 5,731,183, which is incorporated herein by reference) and from various Myxomycetes. Other examples of useful microbial transglutaminases are those disclosed in WO 96/06931 (e.g. transglutaminase from Baci/us lydicus) and WO 96/22366, both of which are incorporated herein by reference. Useful non-microbial transglutaminases include guinea-pig liver transglutaminase, and transglutaminases from various marine sources like the flat fish Pagrus major (disclosed in EP-0555649, which is incorporated herein by reference), and the Japanese oyster Crassostrea gigas (disclosed in US
5,736,356, which is incorporated herein by reference).

QNH2 + H2N-B-W-A QxN-B-W-A

In one embodiment, a protein is treated with transglutaminase and a water-insoluble albumin binder derivatized with an amine handle, in aqueous solution in the presence of cyclodextrin or a cyclodextrin derivative.
Carboxypeptidase Y
Proteins may be modified in their C-terminal by use of carboxypeptidase Y (EC.
3.4.16.5), and suitable modified substrates as described in WO 2007/093594. A
two step procedure as described by B. Peschke et al. "C-Terminally PEGylated hGH derivatives" Bioorg. Med. Chem. 15 (2007) 4382-4395, where C terminal alanine is enzymatically exchanged with N-(4-acetylbenzoyl)lysine, followed by reaction with albumin binder derivative A-W-B-ONH2 is shown as illustration:

HN O HN O

Protein-Ala +
HZN COON -Ala Protein-N COOH
H

O
HN

N,O,B-W-A
Protein-N COOH
H
In one embodiment, a protein is treated with carboxypeptidase Y and N-(4-acetylbenzoyl)lysine, followed by a water-insoluble albumin binder derivatized with an aminoxy handle, in aqueous solution in the presence of cyclodextrin or a cyclodextrin derivative.

The invention will now be described with reference to the following non-limited Examples:

EXAMPLES
Abbreviations used:
amu = atomic mass units hr(s) = hour(s) Hz = hertz L = liter(s) M=molar mbar = millibar mg = milligram(s) min = minute(s) mL = milliliter(s) mM = millimolar mm = milimeter(s) mmol = millimole(s) nmol = nanomole(s) mol = mole(s) MW = Molecular weight N = normal nm = nanometer(s) sec = second(s) ppm = parts per million ESI = electrospray ionization i.v. = intravenous m/z = mass to charge ratio MS = mass spectrometry HPLC = high pressure liquid chromatography RP = reverse phase HPLC-MS = high pressure liquid chromatography - mass spectrometry NMR = nuclear magnetic resonance spectroscopy p.o. = per oral it or RT = room temperature s.c. = subcutaneous tr = retention time Boc = tert butyloxycarbonyl OtBu = tert butyl ester tBu = tert butyl Boc-4-ABZ-OH = 4-tert-Butoxycarbonylamino-benzoic acid CH3CN = acetonitrile DCM = dichloromethane, CH2CI2, methylenechloride DIC = diisopropylcarbdiimide DIPEA = N,N-diisopropylethylamine DMF = N,N-dimethylformamide DMSO = dimethylsulfoxide DTT = dithiothreitol EDAC = 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide hydrochloride Et20 = diethyl ether EtOAc = ethyl acetate Fmoc = 9H-fluoren-9-ylmethoxycarbonyl Fmoc-Glu-O-t-Bu = N-Fmoc-glutamic acid-1-t-butyl ester Fmoc-Lys(Mtt)-OH = (S)-6-[(Diphenyl-p-tolyl-methyl)-amino]-2-(9H-fluoren-9-ylmethoxycarbo nylamino)-hexanoic acid Fmoc-OEG-OH = (2[2-(Fmoc-amino)ethoxy]ethoxy)acetic acid H2O = water HBTU = 2-(1H-Benzotriazol-1-yl-)-1,1,3,3 tetramethyluronium hexafluorophosphate HOAt = 1-Hydroxy-7-azabenzotriazole HOBt = 1-hydroxybenzotriazole MeCN = acetonitrile MeOH = methanol NaCl = sodium chloride NaOH = sodium hydroxide NMP = N-methylpyrrolidin-2-one OEG = (2[2-(amino)ethoxy]ethoxy)acetic acid OtBu = tert butyl ester TFA = trifuloroacetic acid THE = tetrahydrofuran TIS = triisopropylsilane Trt = triphenylmethyl TSTU = O-(N-Succinimidyl)-1,1,3,3-tetramethyl uranium tetrafluoroborate CDCI3 = deuterio chloroform CD3OD = tetradeuterio methanol DMSO-d6 = hexadeuterio dimethylsulfoxide The TGase used in the examples is microbial transglutaminase from Streptoverticillium mobaraense according to US 5,156,956.
The examples also contain the following general methods:
Capillary electrophoresis Capillary electrophoresis was carried out using an Agilent Technologies 3DCE
system (Agilent Technologies). Data acquisition and signal processing were performed using Agilent Technologies 3DCE ChemStation. The capillary was a 64.5 cm (56.0 cm efficient length) 50 pm i.d. "Extended Light Path Capillary"
5 from Agilent. UV detection was performed at 200 nm (16 nm Bw,Reference 380 nm and 50 nm Bw). The running electrolyte was phosphate buffer 50 mM pH 7 (method A). The capillary was conditioned with 0.1M NaOH for 3 min, then with Milli-Q water for 2 min and with the electrolyte for 3 min. After each run, the capillary was flushed with milli-Q water for 2 min, then with phosphoric acid for 10 2 min, and with milli-Q water for 2 min. The hydrodynamic injection was done at 50 mbar for 4.0 sec. The voltage was +25 kV. The capillary temperature was 30 C and the runtime was 10.5 min.

Maldi-Tof mass spectrometry 15 Molecular weights were determined using the Autoflex Maldi-Tof instrument (Bruker). Samples were prepared using alfa-cyano-4-hydroxy-cinnamic acid as matrix.

RP-H PLC
20 RP-HPLC analysis was performed on a Agilent 1100 system using a Vydac 218TP54 4.6 mm x 250 mm 5 pm C-18 silica column (The Separations Group, Hesperia). Detection was by UV at 214 nm, 254 nm, 280 nm and 301 nm. The column was equilibrated with 0.1% trifluoracetic acid / H2O and the sample was eluted by a suitable gradient of 0 to 90% acetonitrile against 0.1%
trifluoracetic 25 acid /H20.

LC-MS
LC-MS analysis was performed on a PE-Sciex API 100 or 150 mass spectrometer equipped with two Perkin Elmer Series 200 Micropumps, a Perkin Elmer Series 30 200 autosampler, a Applied Biosystems 785A UV detector and a Sedex 75 Evaporative Light scattering detector. A Waters Xterra 3.0 mm x 50 mm 5 C-18 silica column was eluted at 1.5 ml/min at room temperature. It was equilibrated with 5% MeCN / 0.1% TFA / H2O and eluted for 1.0 min with 5% MeCN / 0.1%
TFA / H2O and then with a linear gradient to 90% MeCN / 0.1% TFA / H2O over 7 min. Detection was by UV detection at 214 nm and Evaporative light Scattering.
A fraction of the column eluate was introduced into the ionspray interface of a PE-Sciex API 100 mass spectrometer. The mass range 300 - 2000 amu was scanned every 2 seconds during the run.
Quantification of protein Protein concentrations were estimated by measuring absorbance at 280 nm using a NanoDrop ND-1000 UV-spectrophotometer.

Enzymatic peptide mapping for determination of site(s) of derivatization Peptide mapping was performed using Asp-N digestion of the reduced and alkylated protein. First the protein was treated with DTT and iodoacetamide according to standard procedures. The alkylated product was purified using HPLC. Subsequently the alkylated purified product was digested overnight with endoprotease Asp-N (Boehringer) at an enzyme: substrate ratio of 1:100. The digest was HPLC separated using a C-18 column and standard TFA/MeCN buffer system. The resulting peptide map was compared to that of un-derivatized hGH
and fractions with different retention times were collected and further analyzed using Maldi-tof mass spectrometry.
SDS page SDS poly-acrylamide gel electrophoresis was performed using NuPAGE 4% -12% Bis-Tris gels (Invitrogen NP0321BOX). The gels were silver stained (Invitrogen LC6100) or Coomassie stained (Invitrogen LC6065) and where relevant also stained for PEG with barium iodide as described by M. M.
Kurfurst in Anal. Biochem. 200(2), 244-248, (1992).

Protein chromatography Protein chromatography was performed on an Akta Explorer chromatographic system and columns from GE Health Care. Anion exchange was done using a Q-Sepharose HP 26/10 column. Starting buffer was 20 mM triethanolamine buffer pH 8.5 and eluting buffer was starting buffer + 0.2 M NaCl. The compounds were typically eluted with a gradient of 0-75% eluting buffer over 15 column volumes. De-salting and buffer exchange was performed using a HiPrep 26/10 column.

Example A
Preparation of Conjugated Factor VIIa Step (a) - Preparation of Albumin Binder (1) O OH O
IO H O H
HN""'I' O^/0 \/' O^I~HN H O OH

/IL`/II O

(1) Albumin binder (1) was assembled by conventional solid phase synthesis using 2-chlorotritylchloride resin: Resin was swelled in DCM then added a 10-fold excess of 4,7,10-trioxa-1,13-diamine. After washing, Fmoc-Glu(OtBu)OH, Fmoc-Glu-OtBu, and Fmoc-Thex-OH (transamic acid) was sequential coupled and deprotected using HOBt/DIC and 30% piperidine-DMF. Finally fully unprotected eicosanediacid was coupled in excess using HOAC, DIC, lutidine. The albumin binder was then cleaved from resin using 10% TFA in DCM.
Step (a) - Alternative Procedure 2-Chlorotrityl resin (2.0 g, 2,6 mmol) was swelled in DCM for 1/2h. A solution of 4,7,10-trioxa-1,13-diamine in DCM (30 ml) was added. Resin was stirred at rt for 1h. Resin was washed once with dichloromethane, then added a solution of DIPEA: McOH: DCM (15m1:15m1:20m1). Resin was shaken for 30 min, then washed trice with DCM. FmocGlu(OtBu)OH, FmocGluOtBu and FmocThexOH
were then coupled sequentially by standard peptide chemistry as follows: A
0.5M
solution each of Fmoc-AA-OH/DIC/HOBt in NMP (11.7 ml) - was mixed and after 2 min added to the resin. Resin was shaken for 45 min at rt. and then was washed with 5xNMP and 5xDCM. A solution of Ac20/DIPEA/NMP (1:1:5) was added and the resin was stirred at rt for 10 min. The resin was washed (5xNMP
and 5xDCM). The resin was then treated with 30% piperidine-NMP for 2x10 min.
and finally washed with 5xNMP & 5xDCM. The peptide was then added a 0.25M
solution of eicosanediacid (6 eq) containing 0.125M HOAt (3 eq), 0.125M DIC (3 eq) and 0.125M lutidine (3 eq). Resin was shaken at rt for 2h. Resin was washed with 5xNMP and 8xDCM. Product (1) was cleaved from resin using 10%
TFA-DCM for 20 min. The resin was filtrated and the resin was treated once more with 10% TFA-DCM for an additional 20 min. The combined filtrates were collected, and taken to dryness.
Step (b) - Preparation of Maleimide Functionalised Albumin Binder (2) kO ~ H
0I llO O H OH O
0_-~, 0 -_- 0 ~~N H H O H O

O
HO O

(2) Albumin binder was further functionalized at the free amino group with a maleimide handle by addition of TSTU activated 3-maleimidopropionic acid in DMF. After final deprotection in 95% TFA-MilliQ, and recrystallization in acetonitril the compound of formula (2) was obtained as a fine white powder.
Step (b) - Alternative Procedure The product from step (a) above was dissolved in DMF (6 ml), and added TSTU-activated 3 maleimidopropionic acid (premade by reacting TSTU with 3 maleimidopropionic acid in DMF (2 ml) for 45 min) and DIPEA (200 pl). The mixture was stirred at rt for 1h. The reaction mixture was then taken to dryness.
The residue was dissolved in 95% TFA-MilliQ water and stirred at rt for 20 min.
The mixture was taken to dryness. The residue was added a minimum of water to precipitate solids. Solids were filtered, and recrystallized in acetonitrile. The crystals were collected and washed extensively with diethyl ether.
Step (c) - Conjugation of Maleimide Functionalised Albumin Binder (2) to FVIIa C407 Factor VIIa was used for conjugation: scFVIIaC407 in 50mM Hepes, 100 mM NaCl, 10mM CaCl2, pH 7,0 was added a solution of (2) in 50mM Hepes, 100 mM NaCl, 10mM CaCl2, pH 7,0 + 5% 2-hydroxyethyl-beta-cyclodextrin and allowed to react at 25 C for 1h. Sample was up concentrated and buffer was exchanged into fresh 50mM Hepes, 100 mM NaCl, 10mM CaCl2, pH 7,0 and the apoenzyme was allowed to auto-activate overnight at 25 C. Auto activation and selective heavy chain conjugation was confirmed by SDS-PAGE (reducing condition).
Example 1 1. Preparation of albumin binders (II) Tetrazol OEG linker (IIa):
N-N O OSO OII H O O OH H O O NHz O
13 H' v v `H~i /~ ~NH=./~N~/~O^/ J`H H
N\H O
0 OH I NHz (IIa) The tetrazole OEG linker (IIa) was synthesised according to scheme 1.
Scheme 1.
OH
1) FgC_~_CFg 1) `/
R T

R ll _ ~NH 2) Ho a rv O O NH O Fm 0 )X 0H
H
O N,Mtt HzN,,,-,O^/~'NT
Fmoc NH 3) Piperidine H H 2) Piperidine 0 N-Bac xII H 2 times 4) Fmoo'O~~o^i v DH
5) Piperidine Q

0 O 0 NH O j OH
1) F-'"_"o'~ oH
HzN` ^ x/~~{~N/~/OLN ..~~N
/Y` H II H H
O 2) Piperidine O H-eoc H

Q 1) 0 O 0 NH ii O
' H H
-3_4_ 1 "
HzN__"/ _~~O_-/N H=,/1.1N~/~O~/ V HH H oH
I0I O 0 IOI NH HOBt, DIC, NMP
Boc 2) TFA
I'y r^' IllI - IllI I0I O OH fQ~ O NH
H' H `SV V H^~ ~~0~/N N _,-yN,,,O^~ V ~H H
L JJ 0 O _ OH / NHi 2 g of Rink-Amide-Resin (2 g, 0.6 mMol/g) was weighed into a flask. The resin was swelled with NMP (3 x 30 mL) for 2 hrs.

Removal of the Fmoc-group: The resin was shaken with 25% piperidine in NMP
(30 mL) for 10 min. The resin was drained and treated with 25% piperidine in 5 NMP (30 mL) for 1 hour followed by draining and wash with NMP (6 x 30 mL).
Fmoc-Lys(Mtt)-OH and HOBT were weighed into a flask, dissolved in bromo phenol blue in NMP (30 mL, 0.5 mM). This solution was added to the drained resin above followed by addition of DIC. The reaction was shaken at ambient temperature for 21 hrs. The resin was drained and washed with NMP (6 x 30 10 mL) followed by washing with DCM (3 x 30 mL).

The resin was treated with hexafluorisopropanol (20 mL) for 10 min. Shaken for 10 min. The resin was drained and washed with DCM (3 x 30 mL). The resin was treated with hexafluorisopropanol (20 mL) for 10 min again. Shaken for 10 min.
15 The resin was drained and washed with DCM (3 x 30 mL) followed by drained and washed with NMP (3 x 30 mL).

Boc-4-ABZ-OH and HOBT were weighed into a flask, dissolved in bromo phenol blue in NMP (30 mL, 0.5 mM). This solution was added to the drained resin 20 above followed by addition of DIC. The reaction was shaken at ambient temperature. The resin was drained and washed with NMP (6 x 30 mL).
Removel of the Fmoc-group: The resin was shaken with 25% piperidine in NMP
(10 mL) for 10 min. The resin was drained and treated with 25% piperidine in NMP (10 mL) for 1 hour followed by draining and wash with NMP (6 x 15 mL).
Fmoc-OEG-OH and HOBT were weighed into a flask, dissolved in brom phenol blue in NMP (15 mL, 0.5 mM). This solution was added to the drained resin followed by addition of DIC. The reaction was shaken at ambient temperature for 23 hrs. The resin was drained and washed with NMP (6 x 15 mL).
Removal of the Fmoc-group: The resin was shaken with 25% piperidine in NMP
(10 mL) for 10 min. The resin was drained and treated with 25% piperidine in NMP (10 mL) for 1 hour followed by draining and wash with NMP (6 x 15 mL).
Fmoc-Glu-O-t-Bu and HOBT were weighed into a flask, dissolved in bromo phenol blue in NMP (15 mL, 0.5 mM). This solution was added to the drained resin followed by addition of DIC. The reaction was shaken at ambient temperature for 18 hrs. The resin was drained and wash with NMP (6 x 15 mL).

Removal of the Fmoc-group: The resin was shaken with 25% piperidine in NMP
(10 mL) for 10 min. The resin was drained and treated with 25% piperidine in NMP (10 mL) for 1 hour followed by draining and wash with NMP (6 x 15 mL).
Fmoc-Glu-O-t-Bu and HOBT were weighed into a flask, dissolved in 15 ml 0.5 mM bromo phenol blue in NMP. This solution was added to the drained resin followed by addition of DIC. The reaction was shaken at ambient temperature for 18 hrs. The resin was drained and wash with NMP (6 x 15 mL).
Removal of the Fmoc-group: The resin was shaken with 25% piperidine in NMP
(10 mL) for 10 min. The resin was drained and treated with 25% piperidine in NMP (10 mL) for 1 hour followed by draining and washing with NMP (6 x 15 mL).

Fmoc-OEG-OH and HOBT were weighed into a flask, dissolved in bromo phenol blue in NMP (15 mL, 0.5 mM). This solution was added to the drained resin followed by addition of DIC. The reaction was shaken at ambient temperature.
The resin was drained and washed with NMP (6 x 15 mL).
Removal of the Fmoc-group: The resin was shaken with 25% piperidine in NMP
(10 mL) for 10 min. The resin was drained and treated with 25% piperidine in NMP (10 mL) for 1 hour followed by draining and washing with NMP (6 x 15 mL).

4-(16-1H-Tetrazol-5-yl-hexadecanoylsulfamoyl)-butyric acid and HOBT were weighed into a flask, dissolved in bromo phenol blue in NMP (15 mL, 0.5 mM).
This solution was added to the drained resin followed by the addition of DIC.
The reaction was shaken at ambient temperature for 21 hrs. The resin was drained and washed with NMP (6 x 15 mL NMP) followed by draining and wash with DCM
(6 x 15 mL).

The resin was cleaved with a mixture of 95% TFA in water (10 mL) + DCM (0,25 mL) and TIPS (0.25 mL). The resin was shaken for 2 hours at ambient temperature. Filtered down into cold diethyl ether (75 mL). The resulting precipitate was isolated by centrifugation followed by washing with diethyl ether (3 x) and dried in vacuum for 48 hours affording crude 300 mg of the title compound.
TOF-MS: Rt = 4,7 min, mass 1268.71 Crude title compound was purified on prep-HPLC (GILSON). T2145-10; 30->80% MeCN. Pooled fractions were evaporated to dryness on rotavap and the residue dissolved in H2O / MeCN 1:1 and freezedried over night affording 170 mg of the title compound.
Example 2 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Wang Resin.

pppppp O OH II O OH
N/N 13 N NN _YH
N~/~O^iO\/~N/~/~N
N-N O H H \ NHz O O O O O OH H

TOF-MS: mass 1124.33 Example 3 In a similar way as described in Example 1 above and depicted below the following compound was prepared using Boc-Gly-PAM resin as starting material.
O OH

Ho Nom" 0 0 H N N N~\O^/O`v JN/"YN\/CHO
H H I
O O

1) TFA 1) Fmoc-OEG-OH 1) Fmoc-Glu(Ot-Bu)-OH
Boc-Gly-PAM HzN-GIy-PAM HzN-OEG-OEG-GIy-PAM NHz Glu-OEG-O EG-GIy-PAM
2) DMF 2x 2) Piperidine 2) Piperidine 1) Fmoc-H OH H
1) Fmoc 1) Fmoc-Gh(OH)_OtBu-OtBu -- IQ zN 1)t-BuOC(O)-C18-COON
NHi gGlu-GIu-OEG-OEG-GIy-PAM NH-gGIu-GIu-OEG-O EG-GIy-PAM
2) Piperidine 2) Piperidine __ IIOII 2) TFA, TIS, H2C
1) HiN( ' HOOC-C18-C(O)-N o\ HOOC-CI8-C(O)-N
0 NH-9GIu-GIu-OEG-OEG-GIy-PAM NH-9GIu-GIu-OEG-OEG-GIy-GIy-CHO

45 C, 20 hrs 2) TFA
TOF-MS: mass 1128.38 Example 4 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.
O O
H
O O
H0--,, N~""'( O 0 / NHz s H H H I, H H

H H I I
O O O O
HO 0 O NHz TOF-MS: mass 1333.64 Example 5 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.
0 NHz IN-N O O 10 O O Oy OH O O
NH 13 H'Hn[ ]n _N H I H H \
~O CH O NHz TOF-MS: mass 1320.67 Example 6 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

HO O
O O

HO-', HH IOI HH H
v 'L v 23 `~

TOF-MS: mass 2114.64 Example 7 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

HO 16 N~'=,,,=7^~ O O O O NH2 O
H lV 1~ J~
II N H O NY H O N,~-O-\i0- H H
IHO O ' 2 NH2 HO O

TOF-MS: mass 1534.82 Example 8 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

O O
H
HO 12 N\/\O~~O H "'~~N /
O O H

TOF-MS: mass 823.05 Example 9 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Wang Resin.

H
HO 14 N / 1f1 N\~~O~~O 2 N /~~N /
H H H
O
\

TOF-MS: mass 980.22 Example 10 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

O O
H
HO 14 N~/~O~/O 2 N ' /
H H
O O
NHz TOF-MS: mass 851.10 Example 11 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

N 0 050 Oll H O O OH IIH O NHz O
H 3 H Ham' ~ H N 0 0 H
10 O O OH 0 NHz TOF-MS: mass 1258.51 Example 12 In a similar way as described in Example 1 above the following compound was 15 prepared using FMOC-Lys(Mtt)-OH and Wang Resin.

N-N O 0"'0 O O OH O OH
H H S H^' ~\O~NH II 0-/-H H
O O OH 0 NHz TOF-MS: mass 1269.49 Example 13 20 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

`% S 0 NH

N
HO 14 N H NT' H /
O OH
NHz TOF-MS: mass 841.04 Example 14 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

N }I I~

0 II`OH NHz O

TOF-MS: mass 863.07 Example 15 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.
OH
o.l.o S O NHz O O H O O

H '=~\FI
O O OH

TOF-MS: mass 855.07 Example 16 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.
OH
o..j O
O NHz O O H O X' O

H
O O

TOF-MS: mass 883.12 Example 17 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

H OII O OH
N 13 NNH II O^iO~H

NHz TOF-MS: mass 1123.35 Example 18 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

O / O OHO 0 O 0 NHz O

HO N` I- ~ II N H^/O~/~O~/N H /,/NH .,/~/~H N :r" O OH II O OH II NHz TOF-MS: Rt = 4,7 min, mass 1267.45 Example 19 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

O O O O O OH O 0 NHs O
_ r II II

L _ J 0 0H _ \ NH2 TOF-MS: mass 1310.67 Example 20 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.
O OH O NHz O` O uO H uO IuOI O
O S~/~/ N'~ONN N~iOV \N '--/ N
H H IOI /I~ H O H H
O OH / NHz O

O_ -S__l H
TOF-MS: mass 1308.58 Example 21 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Glu(ODmab)-OH and 2-chlorotrityl chloride resine.

N-N O O O H O yI OH N
NON 3 N.S~~N~[ N N/~NH O
H H H ~vJ O O O H II OII H

TOF-MS: mass 1235.56 Example 22 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Glu(ODmab)-OH and 2-chlorotrityl chloride resine.

O O O O OH NHz HO 14 O HO H\/-O^/NHN"~_OHN
O II
OH O O
TOF-MS: mass 1173.40 Example 23 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

O O O OH^ IOx 0 NHz O
HO 14 Ny' v N'.~~\N
H H H
NHZ

TOF-MS: mass 703.93 Example 24 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Lys(Mtt)-OH and Rink amid resin.

0 NHz O O
H

r~'A H
O O O OH
NHZ
TOF-MS: mass 689.90 Example 25 In a similar way as described in Example 1 above the following compound was prepared using FMOC-Glu(ODmab)-OH and 2-chlorotrityl chloride resine.

O O O OH O O OH O O
f~ H H
HO_krN N N"-0". V H HN~\N
fl H 13 H .,,hH IIOII O H
0 O O OH NHz TOF-MS: mass 1182.34 Preparation of GH albumin binder compounds:
Example 26 1. Coupling of transaminated and oxidised GH compound (I) with an albumine binder (II) The following solution was prepared:
Buffer A: Triethanolamine (119 mg, 0.8 mmol) was dissolved in water (40 mL) and pH adjusted to 8.5.
Buffer B: 20 mM Triethanolamine; 0.2 M NaCl.

(A) Transamination of hGH (III) with 1,3-diamino-2-propanol NH rOH

HZN O /N O
H

*_ N-* *-rrN N-* Tr-N O H H H H
TGase 0 0 G1n941 GIn141 III IV
The following solutions were prepared:
hGH (8.64 g) as powder was dissolved in Bufer A (500 mL) with stirring. To this solution was added slowely a mixture of DAP (8.1 g) in Buffer A (50 mL). pH of the resulting mixture was ajusted to 8.5 by addition of aq. HCI. TGase (2.8 mL, 1.3 mg/mL)) was added while mixing. The final mixture was stirred overnight at RT.

The reaction mixture was diluted with buffer A (1.2 L) and the product (IV) was purified by ion exchange chromatography. 100 ml/min - 200 ml/frac.
Step Buffer B 40% - gradient 40-100% Buffer B over 15 CV = 225 min.
(B) Oxidation of transaminated hGH (IV) H
OH ~O
N O N O
H
Periodate * T N H * T N N-*
O O
G1n141 G1n141 IV I

The following solutions were prepared:

Buffer A: Triethanolamine (119 mg, 0.8 mmol) was dissolved in water (40 mL) 5 and pH adjusted to 8.5.

Buffer B: 3-methylthio-1-propanol (725 mg, 7.1 mmol) was dissolved in Buffer A
(10 mL).

10 Buffer C: HEPES (5.96 g) was dissolved in water (1.0 L) and pH adjusted to 7.0 Periodate: NaIO4 (48.1 mg, 0.225 mmol) was dissolved in water (1.0 mL).
To a solution of IV (10 mg, 0.5 pmol) was added Buffer B (0.2 mL) followed by the periodate solution (0.03 mL). After 20 min's of cold incubation the mixture is dialyzed 4 times with buffer C. The residue was concentrated to 1 mL.
(C) Reductive amination of (I) with albumin binder (II) Albumin binder Ho N
0 N / H-4lbumin binder H
H
H O / \ H O

--- rrH H-* --rH
NaCNBH3 0 GIn141 GIn141 I VI
Albumin binder (II) was obtained as described in example 1 through 26.
The final solution from (B) (1 mL, 10 mg, 0.45 pmol (I) ) was mixed with an albumine binder (II) solution (2 mL, 10 mg, 0.3 pmol) in 25 mM HEPES buffer pH 7.0 and the resulting mixture was slowly rotated at room temperature for 1 hr. After 1 hr NaCNBH3 (100 pL of a solution of NaCNBH3 (20 mg) in water (0.5 mL)) was added portionwise. The mixture was kept at room temperature in the dark for 18-24 hours.
The mixture was diluted with 1M tris solution to a final concentration of 50 mM
pH 7.5 and applied to an ion exchange column. Product (VI) was obtained by elution of the column with a gradient of NaCl.

Example 27 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 2.
H H O OOH H O OOH O
N ~S^ ^ N N '/~N~`OiO~N r~~N
N-N O O O 0 OTOH H O H H \ N/~~iVsiai _hGH
H
TOF-MS: mass 23.473,81 Example 28 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 4.
O OH
O O H
HON/" O / I N ~VS141_hGH
16 H Iy`/vIO~ H H O u' H N \
II N N\/~

O O O
HO O O NHz TOF-MS: mass 23.428 Example 29 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 5.
O NHz ! -N O 0"'0 O O O OH O O
N NO
N:r N, \ 13 H N'Sv AN H H H
H H
H H \ ^ ,N6l4l hGH
O H O N
O O
H
TOF-MS: mass 23.472,40 Example 30 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 6.

O O
H
'.~ ^ / I N\/\Nsiai_hGH

v 'L v 23 O OH O O O NHz TOF-MS: mass 24.265,71 Example 31 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 7.

HO 16 Hr""T 1 H OII H OII H O ONHz O
NN NY N N\/\O~iO~TN NON
O O O O H O JJJ H H N ,N6141 _hGH
H
HO O

TOF-MS: mass 23.686,83 Example 32 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 8.

O O
H
HO N~~O~/O 2 H ,./~~~H /
O O -,,_,,Nstat_hGH
H
TOF-MS: mass 22.974,75 Example 33 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 9.

rH
HO 4 N',/ N N

N /,,_~,Nsiai_hGH
H
TOF-MS: mass 23.131,31 Example 34 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 10.

O O
H
HO 14 ~O,,-,,/O H / N / N
0 0 I , N5141_hGH
H
TOF-MS: mass 23.002 Example 35 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 11.

N-N 00 " ' 0 0 1'N 0 OH O 0 NHz O
NON \ 13 H'S H/1O1/,0-'Y /==., N" "=/\~~N
H O O H O H H ,_,_,,N6l41_hGH
H
TOF-MS: mass 23.419,59 Example 36 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 12.

N-N 00 " ' 0 0 IOI OBI/ OH O 0 OH O
NON \ 13 H'Sv V`ry-\Ory/=,/\~N`/~O/~iO~ry=./\/wry /
H
H II II
H O O OH H O H H \ I N
H
TOF-MS: mass 23.420,58 Example 37 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 13.

\\ S O NH

N
HO 14 H H =/\/~H
O 0 OH \ I ^/p,~s1a1_' N
H
TOF-MS: mass 22.992,13 Example 38 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 14.

\S~OH
O II O O NHz O OH

H H
O \S o \ ^~s1a1_hGH

TOF-MS: mass 23.015,15 Example 39 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 15.

OH
0\1 0 s O O H O O

0 OH H H \ ~~6141_hGH
H N
H
TOF-MS: mass 23.006,15 Example 40 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 16.
OH
0.1.0 msS

0 o OH \ I ^ N6141_hGH
N
H
TOF-MS: mass 23.034,18 Example 41 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 17.

H ff IOI O IyOH 0 O NH2 0 S' v N-N 13 0 0 0 0 0 OH H 0 H H N~Nsiai _hGH
H
TOF-MS: mass 23.273,97 Example 42 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 18.

r l II HOO C)H,N0 HO N~M12 yN N~/O~/-O~/N N~''=' N~/~O^/O N '='/U~N
O l 1 O O` OH H IIOII O OH H IOI H H \ 1 N/\/PJ6141_hGH
H
TOF-MS: mass 23.333 Example 43 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 19.

H J~( HO 14 / H 0 N O H NH r/\~~H ai-hGH
L J O OH Hsi TOF-MS: mass 23.461,75 , Example 44 5 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 20.
0 OH O-` NH
ON H
O H NS N~iO~-O ~7 NN N N
H H H H
O 15 O O OH O NNplsiai-hGH
H
O
H

TOF-MS: mass 23.459,67 10 Example 45 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 21.
H
N~N-hGH
N O O, p O OyOH O H
N ~\ f l n S II _ r '_ N N~-niO~-NN
H 3 H H/ lX_ 1X9 \II/ H O H O
O O OH

TOF-MS: mass 23.386,65 Example 46 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 22.
H
O 0 0 0 0 OH / -hGH

I H

OH

TOF-MS: mass 23.324,48 Example 47 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 23.

OOH ONHZ O
HO 1a N ,/ v 'N N /
H H H
5141-hGH
N
H

TOF-MS: mass 22.841 Example 48 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 24.
0 NH, O O
H
HO 4 N H /~/~H 11-O
~~s1a1_hGH
O O O OH N
H
TOF-MS: mass 22.826,97 Example 49 In a similar way as described in Example 26 above the following compound was prepared using albumin binder from Example 25.

H H O
II N L J II IV~\O\/O~N -' -Y N~i0~~0~'"/N~~
I \ 1 N A-1-hGH

O H

TOF-MS: Rt = 4,7 min, mass 1268.7051 Example 50 1. Coupling of transaminated and oxidised GH compound (I) with an albumine binder (II) The following solution was prepared:
Buffer A: Triethanolamine (119 mg, 0.8 mmol) was dissolved in water (40 mL) and pH adjusted to 8.5.

(A) Transamination of hGH (III) with 1,3-diamino-2-propanol OH

H

*_ _ N-* --- Tr-N N-*
H H H H
0 0 TGase 0 G1n40 GIn40 Transaminated hGH Gln40 (IV) was obtained from Example 26 as a biproduct from the CIE chromatography purification.

(B) Oxidation and reductive amination of transaminated hGH Gln40 (IV) was performed as described in Example 26:
NH
OH O
N O N O
H H
Periodate -TrH H- *~rH H-*
O O O O
Gln40 Gln40 IV I
The following solutions were prepared:
In a similar way as described in Example 50 above the following compound was prepared using albumin binder from Example 6.

HO O

H
HO is I N~"WO-hGH "C~r H H I H H H

O O OH O O O
O NHz TOF-MS: Rt = 4,7 min, mass 23.473,81 Example 51 1. Coupling of a GH compound (I) N-terminaly with an albumine binder (II) (A) Reductive alkylation of (I) with an albumin binder aldehyde (II) OHC"H-Albumin binder Hz" N-' N
Albumin binderH H
NaCNBH3 Phel Phe' I VI

Albumin binder (II) was obtained as described in Example 3.

Ho N~ 0 O
16 H Tf H H H
H N.~p~-o H~N~~,,, 7_hGH
O o O HO O

2-(C20diacid-Trx-yGlu-Glu-OEG-OEG-Gly-Glycin amid)-ethyl-Nal-hGH
hGH (23 mg) was dissolved in Hepes buffer (2,3 mL 0,25 mM pH 7,0).
C20diacid-Trx-yGlu-Glu-OEG-OEG-Gly-Gly-dimethylacetal (2 mg, see example 3 above) was treated with TFA (50 pL) for 6 min. and evaporated to dryness in vacuum. The residue was stripped with EtOH (200 pL) and evaporated to dryness in vacuum. The residue was dissolved in DMF (100 pL) and added to the hGH solution. A precipitate was formed and redissolved by addition of DMF (1 mL). After 1 hr a solution of NaCNBH3 (20 mg, in 0,5 mL MeCN (230 pL)) was added portionwise and left for 20 hrs. The reaction was quenched by addition of AcOH (2 mL) and diluted with water to a total volume of 20 ml and purified on prep. HPLC on a C18 column with a gradient of MeCN/O,1% TFA from 40-80%
against 0,1% TFA in water. The latest eluting peak was collected, diluted from 70% MeCN to 10% with water and lyophilized affording 4,51 mg of the title compound.
TOF-MS: mass 23.237,6 PHARMACOLOGICAL METHODS
Assay (I) BAF-3GHR assay to determine growth hormone activity The BAF-3 cells (a murine pro-B lymphoid cell line derived from the bone marrow) was originally IL-3 dependent for growth and survival. 11-3 activates JAK-2 and STAT which are the same mediators GH is activating upon stimulation. After transfection of the human growth hormone receptor the cell line was turn into a growth hormone-dependent cell line. This clone can be used to evaluate the effect of different growth hormone samples on the survival of the BAF-3GHR.

The BAF-3GHR cells are grown in starvation medium (culture medium without growth hormone) for 24 hours at 37 C, 5% C02.

The cells are washed and re-suspended in starvation medium and seeded in plates. 10 pl of growth hormone compound or human growth hormone in different concentrations or control is added to the cells, and the plates are incubated for 68 hours at 37 C, 5% CO2.
AlamarBlue is added to each well and the cells are then incubated for another 4 hours. The AlamarBlue is a redox indicator, and is reduced by reactions innate to cellular metabolism and, therefore, provides an indirect measure of viable cell number.
Finally, the metabolic activity of the cells is measure in a fluorescence plate reader. The absorbance in the samples is expressed in % of cells not stimulated with growth hormone compound or control and from the concentration-response curves the activity (amount of a compound that stimulates the cells with 50%) can be calculated.

List of Embodiments Embodiment 1. A process for preparing a conjugated protein or glycoprotein which comprises the steps of reacting a protein or glycoprotein with a water insoluble albumin binder in the presence of an optionally substituted cyclodextrin molecule.

Embodiment 2. A process as defined in Embodiment 1, wherein the cyclodextrin molecule comprises optionally substituted 13-cyclodextrin.
Embodiment 3. A process as defined in Embodiment 1 or Embodiment 2, wherein the optionally substituted cyclodextrin comprises cyclodextrin optionally substituted by one or more C1_6 alkyl (e.g. methyl, ethyl or propyl) each of which may be optionally substituted by one or more hydroxyl groups (e.g.
hydroxyethyl-cyclodextrin or hydroxypropyl-cyclodextrin).
Embodiment 4. A process as defined in Embodiment 3, wherein the optionally substituted cyclodextrin comprises 2-hydroxyethyl-p-cyclodextrin.

Embodiment 5. A process as defined in any preceding Embodiments, wherein the optionally substituted cyclodextrin molecule is added at a concentration of between 1% and 10% (e.g. 5%).

Embodiment 6. A process as defined in any preceding Embodiments, which comprises reaction in an aqueous buffered solution, such as a Hepes buffer (e.g.
50mM Hepes, 100mM NaCl and 10mM CaC12).

10 Embodiment 7. A process as defined in any preceding Embodiments, which comprises reaction at a constant pH (e.g. pH 7.0) and a constant temperature (e.g. 25 C).

Embodiment 8. A process as defined in any preceding Embodiments, wherein 15 said protein conjugate is a protein conjugate of the formula (I):

(A-W-B)y-P (I) wherein 20 P represents a protein or glycoprotein;
B represents a hydrophilic spacer;
W is a chemical group linking A and B;
A represents an albumin binding residue; and y represents an integer selected from 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10;
25 or a pharmaceutically acceptable salt, solvate or prodrug thereof, such that said A-W-B- moiety comprises a water insoluble moiety.

Embodiment 9. A process as defined in Embodiment 8, wherein said protein has a molecular mass above 20,000 Da.
Embodiment 10. A process as defined in Embodiment 8 or Embodiment 9, wherein said protein represents a blood coagulation factor, such as FVII, FX, FII, FV, protein C, protein S, tPA, PAI-1, tissue factor, FXI, FXII, and FXIII, as well as sequence FVIII, FIX variants thereof.

Embodiment 11. A process as defined in Embodiment 10, wherein the blood coagulation factor is FVII, such as FVIIa.

Embodiment 12. A process as defined in Embodiment 8 or Embodiment 9 wherein said protein represents a growth hormone (GH).

Embodiment 13. A process as defined in any of Embodiments 8 to 12, wherein y represents an integer selected from 1, 2 or 3.
Embodiment 14. A process as defined in any of Embodiments 8 to 13, wherein y represents an integer selected from 2, 3, 4, 5 or 6.

Embodiment 15. A process as defined in Embodiment 14 wherein y represents 2.

Embodiment 16. A process as defined in any of Embodiments 8 to 12 wherein y represents 1.

Embodiment 17. A process as defined in any of Embodiments 8 to 16, wherein the hydrophilic spacer has a cLogP < 0.

Embodiment 18. A process as defined in any of Embodiments 8 to 17, wherein the hydrophilic spacer has the formula wherein Xi is -W,-[(CHR')]1-W2]m1-{[(CH2)n1E1]m2-[(CHR2)12-W3]m3}n2-, X2 is -[(CHR3)13-W4]m4-{[(CH2)n3E2]m5-[(CHR4)]4-W5]m6}n4-, X3 is -[(CHR5)15-W6]m7-, X4 is F-D1-(CH2)16-D2-, 11, 12, 13, 14, 15 and 16 independently are selected from 0-16, ml, m3, m4, m6 and m7 independently are selected from 0-10, m2 and m5 independently are selected from 0-25, n1, n2, n3 and n4 independently are selected from 0-16, F is aryl, heteroaryl, pyrrolidine-2,5-dione c, wherein the aryl and heteroaryl groups are optionally substituted with halogen, -CN, -OH, -C(O)OH, -C(O)NH2, -S(O)20H or C1_6-alkyl, R', R2, R3, R4 and R5 independently are selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)20H, -NH-C(=NH)-NH2, C1.6-alkyl, aryl or heteroaryl;
wherein the alkyl, aryl and heteroaryl groups optionally are substituted with halogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)2OH, -CN or -OH, D1, D2, El and E2 independently are selected from -0-, -NR6-, -N(COR7)- or a valence bond; wherein R6 and R7 independently represent hydrogen or C1_6-alkyl, W1 to W6 independently are selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s2-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s2 is 0 or 1.

Embodiment 19. A process as defined in any of Embodiments 8 to 18, wherein W has the formula -W7-Y-, wherein Y is -(CH2)I7-C3_10-Cycloalkyl-W8- or a valence bond, 17 is 0-6, W7 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s3-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s3 is 0 or 1, W8 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s4-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s4 is 0 or 1.

Embodiment 20. A process as defined in Embodiment 18 or Embodiment 19, wherein 11, 12, 13, 14, 15 and 16 independently represent 0-6.

Embodiment 21. A process as defined in any of Embodiments 18 to 20, wherein ml, m3, m4, m6 and m7 independently represent 0-6.

Embodiment 22. A process as defined in any of Embodiments 18 to 21, wherein m2 and m5 independently represent 0-10.

Embodiment 23. A process as defined in any of Embodiments 18 to 22, wherein n1, n2, n3 and n4 independently represent 0-10, such as 0-6.

Embodiment 24. A process as defined in any of Embodiments 18 to 23, wherein D1 and D2 are independently selected from -0- or -NR6- or a valence bond.

Embodiment 25. A process as defined in any of Embodiments 18 to 24, wherein D1 and D2 are both -0-.

Embodiment 26. A process as defined in any of Embodiments 18 to 25, wherein D1 and D2 are both -NR6-.

Embodiment 27. A process as defined in any of Embodiments 18 to 26, wherein El and E2 are independently selected from -0- or -NR6- or a valence bond.

Embodiment 28. A process as defined in any of Embodiments 18 to 27, wherein El and E2 are both -0-.

Embodiment 29. A process as defined in any of Embodiments 18 to 27, wherein El and E2 are both -NR6-.

Embodiment 30. A process as defined in any of Embodiments 18 to 29, wherein W1 through W8 independently are selected from the group consisting of -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(0)2-, -S(O)2NHC(O)- or a valence bond.

Embodiment 31. A process as defined in any of Embodiments 18 to 30, wherein Rl, R2, R3, R4 and R5 independently are selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H.
Embodiment 32. A process as defined in any of Embodiments 18 to 31, wherein X1 is -W1-[(CHR1)Il-W2]ml-{[(CH2)nl0]m2-[(CHR2)12-W3]m3}n2- and X2 is -[(CHR3)]3-W4]m4-{[(CH2)n30]m5-[(CHR4)14-W5]m6}n4-, wherein -{[(CH2)n1O]m2-[(CHR2)12-W3]m3}n2- and -{[(CH2)n30]m5-[(CHR4)I4-W5]m6}n4- are selected from, O~/O N"* a~/o N
H H

[(CH2)n1O1m2 W3 [(CH2)n1O1m2 W3 (CHR2)12 (CHR2)12 /- N\/~O^/O Nom, lul O

H H

O"'/N-/~O~-O~/ ~N/*
H I I H

or H
N Y
O

Embodiment 33. A process as defined in any of Embodiments 8 to 32 wherein the hydrophilic spacer is selected from:

O OH

H H H H
N N N,,-,-,p/"/O 2 N" Nr H H
0 r7 O O
HO O

O OH
H
H II N H N\/gypH yN N
O O O O

O O 0 0 OH O 0 NHz O
N S N NJ' NH =,, .~~N
H H H H

H
O N~
H N N O~ , N N \
v IXI N ~\O'L J2' II
H
O O OH O O O

HO O O OH

N" 0 O O 0 NHZ
H
H T~V^l1 II N N{ NH N~\O~/OH H
p f HO O

H 0 Nom/
H

H H /~~~ H
N "'42 N ~rll O H
\ Nom/
H
O 0 OH 0 NHz S H O H O O
N
H H~\/ O/I NH N~ H ./\/~H
O OH I N~~*
H

H Hp~N HNC/gyppHH

H

\\ _OH
S O NHz O H` xIOllIII O
N N N
H H H
O O OH N
H

\\ _OH

O N
H
,O
O i\OH
O H
OH
O* 0 O NH
O O
N

H
O OH 0 NHz N-/OI N~/ II N~\O^iO~N~,./~/~N 0 CO .0 0 .. H O H H
O OH H

O OHO 0 OHzN0 0 O OH IOI O OH O \ H^/*
H
N~\
0 0 p H 0 OH O 0 H
H'S IIN L Jy 7~ N OJ` NJw II Np^i /II~H
H 0 OH H p O
H
O O O 0 OH IOI H / N~~, N-S\/~Ni\,O, /,O/~NN~`r=õN~~pni0N
H H H H

DOH ONH
O O

H
H HN
N/ -H

0 0 NHz O
H
'IN
H
H
O OH \ Nom/
H or O OH O O OH O
H O
õ/~/N~/gyp^/Ov N =,==.,,/~NN~\ip~/~p~\/NN
II II II H
H O H O O OH H O \ N^~=
H
Embodiment 34. A process as defined in any of Embodiments 8 to 33 wherein the molar weight of said hydrophilic spacer is in the range from 80D to 1500D
or in the range from 500D to 1100D.
Embodiment 35. A processas defined in any preceding Embodiments wherein said albumin binding residue is a lipophilic residue.

Embodiment 36. A process as defined in any preceding Embodiments wherein said albumin binding residue binds non-covalently to albumin.

Embodiment 37. A process as defined in any preceding Embodiments wherein said albumin binding residue is negatively charged at physiological pH.

Embodiment 38. A process as defined in any preceding Embodiments wherein said albumin binding residue has a binding affinity towards human serum albumin that is below about 10 pM or below about 1 pM.

Embodiment 39. A process as defined in any preceding Embodiments wherein said albumin binding residue is selected from a straight chain alkyl group, a branched alkyl group, a group which has an w-carboxylic acid group or an w-carboxylic acid isoster.

Embodiment 40. A process as defined in any preceding Embodiments wherein said albumin binding residue has from 6 to 40 carbon atoms, from 8 to 26 carbon atoms or from 8 to 20 carbon atoms.

Embodiment 41. A process as defined in any preceding Embodiments wherein said albumin binding residue is a peptide, such as a peptide comprising less than 40 amino acid residues.

Embodiment 42. A process as defined in any preceding Embodiments wherein the albumin binder is selected from N-N (.LH*
N11 * H 13 H 5 HO HO
N-, \ N/

r i O O-N O O-N

* * *

i r r O O
HO HO H~ LL 14 L J16 O H O

OO * O-SO

F O~SO * F 0-SO
F__N 13 F__N 15 F Fi H
F

HO /

or wherein * denotes the attachment to B through W.

Embodiment 43. A process as defined in any of Embodiments 8 to 42, wherein the albumin binding residue A is attached to the glutamine residue of protein P
via hydrophilic spacer B.
Embodiment 44. A process as defined in any of Embodiments 8 to 42, wherein the albumin binding residue A is attached to a cystein residue of protein P
via hydrophilic spacer B.

Embodiment 45. A process as defined in any of Embodiments 8 to 42, wherein the albumin binding residue A is attached to the N-terminal residue of protein P
via hydrophilic spacer B.

Embodiment 46. A process as defined in any of Embodiments 8 to 42, wherein the albumin binding residue A is attached to the C-terminal residue of protein P
via hydrophilic spacer B.

Embodiment 47. A process as defined in any of Embodiments 8 to 42, wherein the albumin binding residue A is attached to a lysine residue of protein P via hydrophilic spacer B.

Embodiment 48. A process as defined in any of Embodiments 8 to 42, wherein the albumin binding residue A is attached to an oxidized glycan residue of glycoprotein P via hydrophilic spacer B.

Embodiment 49. A process as defined in any preceding Embodiments wherein said conjugate is selected from COOH

HOOC N pO H H H FVlla H~,,.\/~N N~,O,/-O-~ONN
n5 0 COOH H 0 0 0 O COOH
HOOC n N H O H
H
rN H NON FVI la n=5 0 COOH O

O COOH
[HoocH O H
H
N H N,,-N FVIIa n=5 O COON O 2 O COOH
[Hooc H
O H
H N ~N NO-N
FVlla n 5 O COOH H O 3 N
N hGH

O
HO O
N
H

O NN hGH
jN4 H HO
N O
O OH

O OH

HO N/~~' 0 0 16 H N H \ H IIN~~PJa'-hGH

O OH
O H
HO NO O / I N v TN6141-hGH
i6 H Ir`/v~/,I~'H H ll~ H H \
II N N-,\ -\/O"/ r ^~(/N
O Z H II
O O O
HO O O NHz /N_N 0 NH 0 o \~ r _ 1 ~f ` / ~Y ~I/ OO N O 0 OH H~-O//O z H
N\H LLL JJJ 13 H H LL JJ9 H H H ^/N6l4l-hGH

H
-/\N6141-hGH
HO s N ~~~ O
r H N Y v H N_/\O,{~\/O~ N~ N
/fI~ H L _ 2 0 0 OH 0 O NHz HO O
O O
H
HO 16 O '--'\NS40-hGH
H II N &N N
H 23" II S

HO O

Ho-'16 H H IOI H O H O O N~ IOI
`\/lYll N N N~~O^~O NAYH lid/. N
N N H N ,,_,N6141_hGH

H
HO O

0 NH, O O
H
HO 12 N~\O/~~O 2 H H

0 ~Ns14l-hGH
H

O
HO 14 H N\~\pp -N H
O
N ,/N6l41_hGH
H

O NHZ
O
H
NX' 0 0 N ~/ 5141-hGH
H
N-N 0 0 0 O N _ 0 OH ^/ O 0 NHz SO N N N N
NON \ 13 H' H N
O OH O \ I N~\~Ns1a1_hGH
H O H H H
H
N p 0 OOH O OH O
S H- 1 i0~~O_y N N
NIN \ 13 H' 0 0 H O O OH H IOI H H \ N^,,Ns1a1_hGH
H

`% 0 NH
IOI H ' Z
O p O O
N

0 0 off ^/Pls,a,_hGH
H

11 S'OH } O ~NH? _ O O o ff O N ` '~ v\ O

H H N /
H
O S c) \ _\/Nsla1_hGH
o OH H
H
OH
p\I'O
S
O NHZ
O p H O O
HO" ~c ' r/` 1 H N H
/~~ / 0 o off H \ I ~/p~s1a1_hGH
H
H
OH

O O

H N
^
0 0 off \ ,N6141_hGH
H

H O y O 0 N

~~ n 0 N-N O O~ O O O OH H 0 H H N~~slathGH
H
O xIOIII IOI HOO 0H2N0 O
HO N N NO_/_O_ O N -\/-N~VVN~/~O~\~O~N~V VAN 12 O O O OH H I I O OH H IIO H H
\ N/NI141-hGH
H V
O p O 0 OH O~INH2 0 HO 14 HN H N ~ NO O /I
JL I
H \/\H o1-_,,N5 O O OH H H \ H _ Ns1 O O~ 5` ^ JllI~I O NN IllI lJV
~'==.,/\/~N
N V \N 0 H H H
O 15 O O OH O -hGH
II H
o-S
OH

H
-,5141_ N-N o oO p p 0 OH p / IN`_^T`1 hGH
NON 13 H~SIJ N NN~HN \
9 :r H H ` J p v _ 0 O OH

H
O O O O O O 0,,r-OH H N,,,,"\, -h OH
IIVl(~
HO 14 'SHON
H IIH H
O

0 OH xOII 0 NH

HO 14 N~~/ v N~./~~N /
H H H I
N ~N6141_hGH
H

H

HO 14 N H o/~/~H / -;~, r O O o OH I ~~8l41_hGH
N
H

^,,N8141_h3H
H or 0 0 O OH p O}7y,, OH IOI O
~ .N\ O~N" "w N KN~i O~/~p~N~/~N
HO IX "L ,3v H / 0 H IOI p H H
^ AM41-hGH
OH
H

Embodiment 50. A conjugated protein obtainable by a process as defined in any preceding Embodiments.

Embodiment 51. A protein conjugate which comprises a protein or glycoprotein linked to an albumin binding residue via a hydrophilic spacer, or a pharmaceutically acceptable salt, solvate or prodrug thereof.
Embodiment 52. A protein conjugate of the formula (I):
(A-W-B)y-P (I) wherein P represents a protein or glycoprotein;
B represents a hydrophilic spacer;
W is a chemical group linking A and B;
A represents an albumin binding residue; and y represents an integer selected from 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10;
or a pharmaceutically acceptable salt, solvate or prodrug thereof.
Embodiment 53. A protein conjugate as defined in Embodiment 51 or Embodiment 52, wherein said protein has a molecular mass above 20,000 Da.
Embodiment 54. A protein conjugate as defined in Embodiments 51 to 53, wherein said protein represents a blood coagulation factor, such as FV1I, FX, FII, FV, protein C, protein S, tPA, PAI-1, tissue factor, FXI, FXII, and FXIII, as well as sequence FVIII, FIX variants thereof.
Embodiment 55. A protein conjugate as defined in Embodiment 54, wherein the blood coagulation factor is FV11, such as FVIIa.

Embodiment 56. A protein conjugate as defined in Embodiment 52 or Embodiment 53 wherein said protein represents a growth hormone (GH).
Embodiment 57. A protein conjugate as defined in any of Embodiments 52 to 56, wherein y represents an integer selected from 1, 2 or 3.

Embodiment 58. A protein conjugate as defined in any of Embodiments 52 to 57, wherein y represents an integer selected from 2, 3, 4, 5 or 6.

Embodiment 59. A protein conjugate as defined in Embodiment 58 wherein y represents 2.

Embodiment 60. A protein conjugate as defined in any of Embodiments 52 to 57 wherein y represents 1.
Embodiment 61. A protein conjugate as defined in any of Embodiments 52 to 60, wherein the hydrophilic spacer has a cLogP < 0.

Embodiment 62. A protein conjugate as defined in any of Embodiments 52 to 61, wherein the hydrophilic spacer has the formula wherein X1 is -W1-[(CHRl)]1-W2]m1-{[(CH2)n1E1]m2-[(CH R2)12-W31m3}n2-, X2 is -[(CHR3)I3-W4]m4-{[(CH2)n3E2]m5-[(CHR4)14-W5]m6}n4-, X3 is -[(CHR5)I5-W6]m7-, X4 is F-D1-(CH2)16-D2-, 11, 12, 13, 14, 15 and 16 independently are selected from 0-16, ml, m3, m4, m6 and m7 independently are selected from 0-10, m2 and m5 independently are selected from 0-25, n1, n2, n3 and n4 independently are selected from 0-16, F is aryl, heteroaryl, pyrrolidine-2,5-dione c, wherein the aryl and heteroaryl groups are optionally substituted with halogen, -CN, -OH, -C(O)OH, -C(O)NH2, -S(O)2OH or C1.6-alkyl, R1, R2, R3, R4 and R5 independently are selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)20H, -NH-C(=NH)-NH2, C1_6-alkyl, aryl or heteroaryl; wherein the alkyl, aryl and heteroaryl groups optionally are substituted with halogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)20H, -CN or -OH, D1, D2, El and E2 independently are selected from -0-, -NR6-, -N(COR')- or a valence bond; wherein R6 and R' independently represent hydrogen or C1_6-alkyl, W1 to W6 independently are selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s2-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s2 is 0 or 1.

Embodiment 63. A protein conjugate as defined in any of Embodiments 52 to 62, wherein W has the formula -W7-Y-, wherein Y is -(CH2)I7-C3_10-Cycloalkyl-W8- or a valence bond, 17 is 0-6, W7 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s3-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s3 is 0 or 1, W8 is selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s4-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s4 is 0 or 1.

Embodiment 64. A protein conjugate as defined in Embodiment 62 or Embodiment 63, wherein 11, 12, 13, 14, 15 and 16 independently represent 0-6.
Embodiment 65. A protein conjugate as defined in any of Embodiments 62 to 64, wherein ml, m3, m4, m6 and m7 independently represent 0-6.

Embodiment 66. A protein conjugate as defined in any of Embodiments 62 to 65, wherein m2 and m5 independently represent 0-10.

Embodiment 67. A protein conjugate as defined in any of Embodiments 62 to 66, wherein n1, n2, n3 and n4 independently represent 0-10, such as 0-6.
Embodiment 68. A protein conjugate as defined in any of Embodiments 62 to 67, wherein D1 and D2 are independently selected from -0- or -NR6- or a valence bond.
Embodiment 69. A protein conjugate as defined in any of Embodiments 62 to 68, wherein D1 and D2 are both -0-.

Embodiment 70. A protein conjugate as defined in any of Embodiments 62 to 68, wherein D1 and D2 are both -NR6-.

Embodiment 71. A protein conjugate as defined in any of Embodiments 62 to 70, wherein El and E2 are independently selected from -0- or -NR6- or a valence bond.
Embodiment 72. A protein conjugate as defined in any of Embodiments 62 to 71, wherein El and E2 are both -0-.

Embodiment 73. A protein conjugate as defined in any of Embodiments 62 to 71, wherein El and E2 are both -NR6-.

Embodiment 74. A protein conjugate as defined in any of Embodiments 62 to 73, wherein W1 through WB independently are selected from the group consisting of -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)- or a valence bond.

Embodiment 75. A protein conjugate as defined in any of Embodiments 62 to 74, wherein R1, R2, R3, R4 and R5 independently are selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)20H or C1_6-alkyl; wherein the alkyl group optionally is substituted with -C(O)OH, -C(O)NH2, -S(O)20H.

Embodiment 76. A protein conjugate as defined in any of Embodiments 62 to 75, wherein X1 is -W1-[(CHRI)I1-W2]m1-{[(CH2)n1O]m2-[(CH R2)12-W3]m3}n2- and is -[(CHR3)13-W4]m4-{[(CH2)n30]m5-[(CHR4)I4-W5]m6}n4-r wherein -{[(CH2)nl0]mz-[(CHR2)12-W3]m3}n2- and -{[(CH2)n30]m5-[(CHR4)I4-W5]m6}n4- are selected from, O O
O~/O N". H H

[(CH2)n1O1m2 W3 [(CH2)n1O1m2 W3 (CHR2)12 (CHR2)12 r r H

H

H

H H
O

O~N~/~O~~O"AfV~
H H
O O
or H

O
Embodiment 77. A protein conjugate as defined in any of Embodiments 51 to 76 wherein the hydrophilic spacer is selected from:

NO O
H H H ^ /H
N N N~~O/~/O 2 N { N~~*
H H I I
O HO O O
O

O OH
H
H yI` ~,I H H H
II N N\_--/~/O ^ /N N

O O
HO O O NHz 0,0 0 O OH O 0 NH2 O
N'S 'N O HN~\ O~HH

H
0 O OH H"\

H
L 23' I I yfaN, H N 0 H N__O /O~ H N
N T

O OH 0 NHz HO O O OH

N'4,, O O O O NHZ O
H 7l/V~11 ~~~1 O NH O N H H H
O O O JJJJ2222N^/*
H
HO O

H p H

O OH 0 NHz O
O H
H
O 0 ^ }0 0 OH O 0 NHz O
H~S `' v H~iO,p~ N NN~NTm/\/~N
H H H

H

ps0 O H O H O y O
N H H~\i p Nr- \~H NT, /\/N-/-p^iO~H n/\/~H
H II H H
0 O H 0 N~\~*
H

\\ _OH
S 0 NHz II O C
O N
H " H

H

\1 0 OH
II D ONHz 0 O N

O \S ,`O
II OH

OH
0`Iy0 S
O NHz H
N
=õ-..~i~ I
5:;, H H H

H

- JJ~~ 0 OH 0 NHz H 0 \
.,N~S.U~NlNTI- yy ,H i/U\N

C ,0 0 O OH N
H
O OI HO 0 OHzN0 0 kiN N,- /O_/~O/\/N H N_/_O/\/OH~ H
O OH IOI O OH O H
H
N~\
0 0 0 0 0 O~ H IOI
*'N N

H

II ~ll Ho"
' \' ~N^, Io N N" N~_O_\_0-/-NN
H HH H

DOH^ }IOI~ONHz 0 H H H
\ N/~/*
H

O O
H
IN
N
H
O OH
H or O OH O O OH O O
H
NTy -N OH =...,,~~N HN
IXI H
H O O O OH O N
H
Embodiment 78. A protein conjugate as defined in any of Embodiments 51 to 77 wherein the molar weight of said hydrophilic spacer is in the range from 80D to 1500D or in the range from 500D to 1100D.

Embodiment 79. A protein conjugate as defined in any of Embodiments 51 to 78 wherein said albumin binding residue is a lipophilic residue.

Embodiment 80. A protein conjugate as defined in any of Embodiments 51 to 79 wherein said albumin binding residue binds non-covalently to albumin.

Embodiment 81. A protein conjugate as defined in any of Embodiments 51 to 80 wherein said albumin binding residue is negatively charged at physiological pH.
Embodiment 82. A protein conjugate as defined in any of Embodiments 51 to 81 wherein said albumin binding residue has a binding affinity towards human serum albumin that is below about 10 pM or below about 1 pM.

Embodiment 83. A protein conjugate as defined in any of Embodiments 51 to 82 wherein said albumin binding residue is selected from a straight chain alkyl group, a branched alkyl group, a group which has an w-carboxylic acid group or an w-carboxylic acid isoster.

Embodiment 84. A protein conjugate as defined in any of Embodiments 51 to 83 wherein said albumin binding residue has from 6 to 40 carbon atoms, from 8 to 26 carbon atoms or from 8 to 20 carbon atoms.

Embodiment 85. A protein conjugate as defined in any of Embodiments 51 to 84 wherein said albumin binding residue is a peptide, such as a peptide comprising less than 40 amino acid residues.

Embodiment 86. A protein conjugate as defined in any of Embodiments 51 to 85 wherein the albumin binder is selected from N-N
N-Lfk*
N\ N

HO HO
N~/
N ~/

r i O O-N O O-N

O O O

i r r O O
HO N/* HON

O O

O'N~ * O,S~

F O~SO F O-SO
F__N 13 F-)-N/ 15 F H F H

HO /
I 0 14 * HO / 0 12 *
or wherein * denotes the attachment to B through W.

Embodiment 87. A protein conjugate as defined in any of Embodiments 51 to 86, wherein the albumin binding residue A is attached to the glutamine residue of protein P via hydrophilic spacer B.

Embodiment 88. A protein conjugate as defined in any of Embodiments 51 to 86, wherein the albumin binding residue A is attached to a cystein residue of protein P via hydrophilic spacer B.

Embodiment 89. A protein conjugate as defined in any of Embodiments 51 to 86, wherein the albumin binding residue A is attached to the N-terminal residue of protein P via hydrophilic spacer B.

Embodiment 90. A protein conjugate as defined in any of Embodiments 51 to 86, wherein the albumin binding residue A is attached to the C-terminal residue of protein P via hydrophilic spacer B.
Embodiment 91. A protein conjugate as defined in any of Embodiments 51 to 86, wherein the albumin binding residue A is attached to a lysine residue of protein P via hydrophilic spacer B.

Embodiment 92. A protein conjugate as defined in any of Embodiments 51 to 86, wherein the albumin binding residue A is attached to an oxidized glycan residue of glycoprotein P via hydrophilic spacer B.

Embodiment 93. A protein conjugate as defined in any of Embodiments 51 to 92 wherein said conjugate is selected from COON
0 COOH O S~
HOOC n N H IOI H H H FVlla H~,..,,~N~/~N
n=5 0 COOH H 0 0 0 O COOH
HOOC n N H O H
H
Ir N NO~N~ FVlla n5 O COOH H O

O COOH
HOOC n N H 0 4 H
N FVlla n=5 0 COOH H O 2 O COOH
HOOC n N H O H
H
N = N NO~N FVlla n 5 0 COOH H 0 3 O N IxOI N 5-141 N hGH

O
HO N O
H

O N,-O^iO1Nio -o-,yN N N hGH

O
N
LO O

H N H N~~O~/O H~/N~~a1 hGH

O OH
O p H
HO-~N~"' O O / I N v ~VStat_hGH
16 H H H ll~ H N \
J~ 'N _ yI I~ N Off/ T N
v IXI H
O O O
HO O NHz N-N 0 NHz O
~~ N IOI O O p O 0 OH OI
N, N3~` 1^ NN N~~p^~OJ\N
N6l41_hGH

O OH H

O O
/////++\ /~~^~~~\I -/ANs141_hGH

H II H HH H
~~ N; N

H

OH

O O
^ ^ H
HO 16 HH I H H N\^N~0-hGH
/fIY\ v H 2 O HO O O OH

HO 16 H/t....H O H OII H O O N,~~ H, O
NV H O N,-p~/ J$2 N~~lj~i`_\/_~N
HO N
H N H H N~Jst4t_hGH -1 H
HO O

O O
H
HO 12 N~/~O~\/ H N /
o O H ~~s1a1_hGH
H

rH
HO 4 H,/ N\~~O~~~O-H /\~~N
II` H
O , -IS141-hGH
H

H

H
0 0 i~ 8141-hGH
H

N-N p 0 OII H O OH H 0 NHz 0 NON 13 H/ v v `N-ip H p~N NN N
H II
H \ /Nsi41_hGH
^

H
N-N 0 0, 0 H O O OH H 0 OH O
N,N 13 H/p~N~,MNN 'N /
H /I~ II
H O O OH H 0 H H \ N^/Nb1a1_hGH
H

S_OH O NH
O O O
O H
N

o off 6141_hGH
N
H

`_OH
S }ff O CNH~ ,, O O f-r O NY o '~ \/ \/ O
HO 1q H H H /
o \S o \ I ~~6la1_hGH
II'OH H
O

OH
O\I'O
S
O NHz O p H O 0 HO 14 H N H ~H
O OH ^~s1a1_hGH
N
H
OH
plS O NH2 HO 1B N N H ~~~H / N
H ^,,N6141-hGH
OH \
H
0 OH 0 NHz H IOIII O O

N-N O O Z) 0 OH O N/\/Nsiai_hGH
H

O O O
O II OIIII HO O H,N 0 HO H N = N^iO~~pNN1`\/~N N~~O~\iO~N N
12 O O OH H IOI 0 OH H IOI H H _ N3141 _hGH
H \/

O 0 C~ 110 O O 0 OH O NH2 O HO 14 H~SH~g NH~\~NH H -hGH
O ~- ff~~ OH \ N' v b H

0 o it H __ IuOuIII H 0 0 NS O\/0--Y"r H N\/~p~\/p H H H H
15 O 0 OH O N/~~5101-hGH
O H
11 O=S
OH

H
' -/' F I1a1_hGH
OH H
N-N O O
N i N~~OiiON \
\N \ 13 NH p N w O ~N 0 H H ^~ H O H O

H
O O O O O O OOH IO "\~Ple"'-hGH
HO 14 N/S H~\/O\/\O NNNNN \
H H H

O O 0 OH IOxI 0 NH2 O
HO 14 N ' / N/~~N
H H H
/~/p~s1a1_h GH
N
H

H

0 0 O OH I ,,,,_,,N8l41_hGH
H

HO 14 N N /~~N / N
H H H I
,,,,_,,,N6l41_hGH
H or /Illly \~ H II H
N
N O~-~O~N~~N H
HO 0 O 13 H H O O OH H O H N ,_,N
O

Embodiment 94. A protein conjugate as defined in any of Embodiments 50 to 93 for use in therapy.

Embodiment 95. A pharmaceutical composition comprising a protein conjugate as defined in any of Embodiments 50 to 93, optionally in combination with a pharmaceutical acceptable excipient.

Embodiment 96. A method of prophylactic treatment of hemophilia which comprises administering to a patient a therapeutically effective amount of a conjugated blood coagulation factor as defined in Embodiment 11.

Embodiment 97. A conjugated blood coagulation factor as defined in Embodiment 11 for use in the prophylactic treatment of hemophilia.
Embodiment 98. Use of a conjugated blood coagulation factor as defined in Embodiment 11 in the manufacture of a medicament for the prophylactic treatment of hemophilia.
Embodiment 99. A pharmaceutical composition comprising a conjugated blood coagulation factor as defined in Embodiment 11 for use in the prophylactic treatment of hemophilia.

Embodiment 100. A pharmaceutical formulation comprising a conjugated blood coagulation factor as defined in Embodiment 11.

All references, including publications, patent applications, and patents, cited herein are hereby incorporated by reference in their entirety and to the same extent as if each reference were individually and specifically indicated to be incorporated by reference and were set forth in its entirety herein (to the maximum extent permitted by law), regardless of any separately provided incorporation of particular documents made elsewhere herein.

The use of the terms "a" and "an" and "the" and similar referents in the context of describing the invention are to be construed to cover both the singular and the plural, unless otherwise indicated herein or clearly contradicted by context.
For example, the phrase "the compound" is to be understood as referring to various "compounds" of the invention or particular described aspect, unless otherwise indicated.

Unless otherwise indicated, all exact values provided herein are representative of corresponding approximate values (e.g., all exact exemplary values provided with respect to a particular factor or measurement can be considered to also provide a corresponding approximate measurement, modified by "about," where appropriate).

The description herein of any aspect or aspect of the invention using terms such as "comprising", "having," "including," or "containing" with reference to an element or elements is intended to provide support for a similar aspect or aspect of the invention that "consists of", "consists essentially of", or "substantially comprises" that particular element or elements, unless otherwise stated or clearly contradicted by context (e.g., a composition described herein as comprising a particular element should be understood as also describing a composition consisting of that element, unless otherwise stated or clearly contradicted by context).

Claims (15)

1. A process for preparing a conjugated protein or glycoprotein which comprises the steps of reacting a protein or glycoprotein with a water insoluble albumin binder in the presence of an optionally substituted cyclodextrin molecule.

2. A process as defined in claim 1, wherein the cyclodextrin molecule comprises cyclodextrin, such as .beta.-cyclodextrin, optionally substituted by one or more C1-6 alkyl, such as methyl, ethyl or propyl, each of which may be optionally substituted by one or more hydroxyl groups, such as hydroxyethyl-cyclodextrin or hydroxypropyl-cyclodextrin, in particular, the optionally substituted cyclodextrin comprises 2-hydroxyethyl-p-cyclodextrin.

3. A process as defined in claim 1 or claim 2, wherein the optionally substituted cyclodextrin molecule is added at a concentration of between 1%
and 10%, such as 5%.

4. A process as defined in any preceding claims, which comprises reaction in an aqueous buffered solution, such as a Hepes buffer, in particular 50mM
Hepes, 100mM NaCl and 10mM CaCl2.

5. A process as defined in any preceding claims, wherein the albumin binder has a cLog P of > 1, such as > 2, for example, > 3, in particular > 4 such as > 5 in either octan-1-ol, chloroform, cyclohexane and propylene glycol dipelargonate (PGDP).

6. A process as defined in any preceding claims, wherein said protein conjugate is a protein conjugate of the formula (I):

(A-W-B)y-P (I) wherein P represents a protein or glycoprotein;

B represents a hydrophilic spacer;
W is a chemical group linking A and B;
A represents an albumin binding residue; and y represents an integer selected from 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10;
or a pharmaceutically acceptable salt, solvate or prodrug thereof, such that said A-W-B- moiety comprises a water insoluble moiety.

7. A process as defined in any preceding claims, wherein said protein represents a blood coagulation factor, such as FVII, FX, FII, FV, protein C, protein S, tPA, PAI-1, tissue factor, FXI, FXII, and FXIII, as well as sequence FVIII, FIX variants thereof, in particular FVII, such as FVIIa.

8. A process as defined in claim 6 or claim 7, wherein the hydrophilic spacer has the formula wherein x1 is -W1-[(CHR1)]1-W2]m1-{[(CH2)n1E1]m2-[(CHR2)I2-W3]m3}n2-, X2 is -[(CHR3)I3-W4]m4-{[(CH2)n3E2]m5-[(CHR4)I4-W5]m6}n4-, X3 is -[(CHR5)I5-W6]m7-, X4 is F-D1-(CH2)I6-D2-, I1, I2, I3, I4, I5 and I6 independently are selected from 0-16, m1, m3, m4, m6 and m7 independently are selected from 0-10, m2 and m5 independently are selected from 0-25, n1, n2, n3 and n4 independently are selected from 0-16, F is aryl, heteroaryl, pyrrolidine-2,5-dione c, wherein the aryl and heteroaryl groups are optionally substituted with halogen, -CN, -OH, -C(O)OH, -C(O)NH2, -S(O)2OH or C1-6-alkyl, R1, R2, R3, R4 and R5 independently are selected from hydrogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)2OH, -NH-C(=NH)-NH2, C1-6-alkyl, aryl or heteroaryl; wherein the alkyl, aryl and heteroaryl groups optionally are substituted with halogen, -C(O)OH, -C(O)NH2, -S(O)OH, -S(O)2OH, -CN or -OH, D1, D2, E1 and E2 independently are selected from -O-, -NR6-, -N(COR7)- or a valence bond; wherein R6 and R7 independently represent hydrogen or C1-6-alkyl, W1 to W6 independently are selected from -C(O)NH-, -NHC(O)-, -C(O)NHCH2-, -CH2NHC(O)-, -C(O)NHS(O)2-, -S(O)2NHC(O)-, -OC(O)NH-, -NHC(O)O-, -C(O)CH2-, -CH2C(O)-, -C(O)CH=CH-, -CH=CHC(O)-, -(CH2)s2-, -C(O)-, -C(O)O-, -OC(O)-, or a valence bond; wherein s2 is 0 or 1.

9. A process as defined in any of claims 6 to 8 wherein the hydrophilic spacer is selected from:

10. A process as defined in any preceding claims wherein the albumin binder is selected from wherein * denotes the attachment to B through W.

11. A conjugated protein obtainable by a process as defined in any preceding claims.

12. A protein conjugate selected from

13. A protein conjugate as defined in claim 11 or claim 12 for use in therapy.

14. A pharmaceutical composition comprising a protein conjugate as defined in claim 11 or claim 12, optionally in combination with a pharmaceutical acceptable excipient.

15. A conjugated protein obtainable as defined in claim 7 for use in the prophylactic treatment of hemophilia.